Individual
ANDREA BLAIR EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2845 FREDERICK ST, CANTONMENT, FL 32533-5734
(850) 418-1440
Mailing address
2845 FREDERICK ST, CANTONMENT, FL 32533-5734
(850) 418-1440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10611
FL
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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