Individual
DARA K GARNER-EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689857989
—
VA
01
—
204696
MEDCOST
—
01
—
9005120
AETNA
—
Enumeration date
12/10/2007
Last updated
05/08/2008
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