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Individual

LEON RENNODA EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.W., M.SS.W, D.S.

Contact information

Practice address
3585 AUSTIN PEAY HWY SUITE #112, SUITE 112, MEMPHIS, TN 38128
(901) 229-6565
Mailing address
3810 PINEVIEW ROAD APT #103, APT #103, MEMPHIS, TN 38125
(901) 229-6565

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5504-LCSW
TN
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
5504-LCSW
TN

Other

Enumeration date
04/12/2007
Last updated
10/24/2018
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