Individual
JAMIE LYNN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
700 LIBERTY LN, WEST CARROLLTON, OH 45449-2135
(937) 247-2400
Mailing address
700 LIBERTY LN, WEST CARROLLTON, OH 45449-2135
(937) 724-2400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962779488
—
IL
Enumeration date
11/29/2011
Last updated
06/11/2020
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