Individual
MICHELLE LEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
435 WARREN ST, ROXBURY, MA 02119-1833
(617) 719-4991
Mailing address
PO BOX 27, ROSLINDALE, MA 02131-0001
(617) 719-4991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
217961
MA
Other
Enumeration date
09/29/2010
Last updated
07/19/2012
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