Individual
MRS. AYTAC AYDOGAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 LAKE PLACID CT, CORAM, NY 11727-2022
(631) 828-8037
Mailing address
1 LAKE PLACID CT, CORAM, NY 11727-2022
(631) 828-8037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R024365-1
NY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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