Individual
MR. BRAD DAVID EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3150 HOOMUA DR, KIHEI, HI 96753-9443
(808) 250-7929
Mailing address
3150 HOOMUA DR, KIHEI, HI 96753-9443
(808) 250-7929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3896
HI
390200000X
Student in an Organized Health Care Education/Training Program
ASW #17554
CA
Other
Enumeration date
01/12/2009
Last updated
06/13/2014
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