Individual
EDWIN HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
43 KNIGHT BOXX RD STE 1, ORANGE PARK, FL 32065-7395
(904) 379-8675
(904) 423-0490
Mailing address
43 KNIGHT BOXX RD STE 1, ORANGE PARK, FL 32065-7395
(904) 379-8675
(904) 423-0490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW14479
FL
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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