Individual
MR. EDWARD JOSEPH KORN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W, L.A.D.A.C.
Contact information
Practice address
200 S COLLEGE ST, 315, TRENTON, TN 38382-1900
(731) 855-4950
Mailing address
PO BOX 315, TRENTON, TN 38382-0315
(731) 855-4950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1064
TN
1041C0700X
Clinical Social Worker
Primary
5165
TN
Other
Enumeration date
11/03/2009
Last updated
01/08/2011
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