Individual
MONIQUE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
22811 GREATER MACK AVE STE L2, SAINT CLAIR SHORES, MI 48080-2057
(586) 335-2006
Mailing address
20217 AVALON ST, SAINT CLAIR SHORES, MI 48080-3721
(586) 530-8388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016286
MI
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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