Individual
TONYA ROPER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
2912 SANGRIA PL, FAYETTEVILLE, NC 28306-9518
(910) 920-4586
Mailing address
2912 SANGRIA PL, FAYETTEVILLE, NC 28306-9518
(910) 920-4586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7697152
NC
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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