Individual
EDNA JEAN DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2191 N AVENIDA DEL POLEN, GREEN VALLEY, AZ 85614-4164
(520) 625-9128
Mailing address
2191 N AVENIDA DEL POLEN, GREEN VALLEY, AZ 85614-4164
(520) 625-9128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-0198
AZ
Other
Enumeration date
08/28/2005
Last updated
02/23/2022
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