Individual
BIANCA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
975 KINGSVIEW DR, LEBANON, OH 45036-9562
(513) 228-7800
(513) 228-7848
Mailing address
975 KINGSVIEW DR, SUITE 400, LEBANON, OH 45036-9562
(513) 228-7854
(513) 228-7848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NONE
OH
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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