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Individual

CHARLETTE EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPH, LAC, AADC, BA

Contact information

Practice address
1545 LINE AVE, SHREVEPORT, LA 71101-4600
(318) 519-4802
Mailing address
1545 LINE AVE STE 211, SHREVEPORT, LA 71101-4630
(318) 519-4802

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/04/2013
Last updated
07/21/2022
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