Individual
MR. CHARLES ALEXANDER EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
50 ROSE AVE, VALLEY STREAM, NY 11580-3221
(516) 758-7501
Mailing address
50 ROSE AVE, VALLEY STREAM, NY 11580-3221
(516) 758-7501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119652
NY
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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