Individual
MR. BRIAN J EDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 MACTANLY PL STE B, STAUNTON, VA 24401-2383
(540) 885-3508
(540) 885-3508
Mailing address
100 MACTANLY PL STE B, STAUNTON, VA 24401-2383
(540) 885-3508
(540) 885-3508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06320
IA
1041C0700X
Clinical Social Worker
Primary
0904010099
VA
1041C0700X
Clinical Social Worker
LC50078732
DC
Other
Enumeration date
08/31/2006
Last updated
03/17/2018
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