Individual
TANYA LYNETTE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 292-4242
Mailing address
515 S 66TH ST, MILWAUKEE, WI 53214-1737
(414) 303-7179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12117
WI
Other
Enumeration date
06/23/2022
Last updated
03/25/2025
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