Individual
MS. EDNA CANINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7950 MARTIN LOOP, MARTIN ARMY HOSPITAL - DEPT OF BEHAVIORAL HEALTH, FORT BENNING, GA 31905-5647
(706) 544-3590
Mailing address
8519 LIBERTY HALL DR, MIDLAND, GA 31820-4294
(706) 358-6289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002738
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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