Individual
ERICA RENEE EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4007 LONG POINT BLVD, PORTSMOUTH, VA 23703-5348
(808) 825-1650
Mailing address
4007 LONG POINT BLVD, PORTSMOUTH, VA 23703-5348
(808) 825-1650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4316
HI
1041C0700X
Clinical Social Worker
DP00945484
WV
Other
Enumeration date
05/23/2018
Last updated
10/14/2023
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