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Individual

MR. JAMES R EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2448 N MERRIT CREEK LOOP, COEUR D ALENE, ID 83814-4953
(208) 755-6010
Mailing address
PO BOX 3372, COEUR D' ALENE, ID 83816
(208) 755-6010

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW25136
ID

Other

Enumeration date
01/16/2007
Last updated
07/09/2007
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