Individual
JULISA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CBHCM
Contact information
Practice address
4433 PINE VILLA CIR, PACE, FL 32571-2072
(251) 607-8124
Mailing address
4433 PINE VILLA CIR, PACE, FL 32571-2072
(251) 607-8124
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM103581
FL
251B00000X
Case Management Agency
—
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Other
Enumeration date
05/03/2021
Last updated
05/24/2021
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