Individual
ELLEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 ROPER MOUNTAIN RD STE 901, GREENVILLE, SC 29615-4254
(803) 730-9846
Mailing address
124 OXFORD ST, GREENVILLE, SC 29607-1119
(803) 730-9846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
COU.8071
SC
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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