Individual
DR. JANICA SUE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
300 5TH AVE NE, ISANTI, MN 55040-2205
(763) 688-9700
Mailing address
38873 14TH AVE, SUITE 7, NORTH BRANCH, MN 55056-6079
(651) 401-3064
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5973
MN
103TC0700X
Clinical Psychologist
LP5973
MN
Other
Enumeration date
12/30/2015
Last updated
01/18/2022
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