Terina Gaye Edwards BS, SST

NPI 1205121688 - Counselor - 101YM0800X

NPI Details
NPI 1205121688
Gender Female
Enumeration Date 06/14/2011
Last Updated 06/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3079 LEHMAN ST
HAMTRAMCK MI, 48212-3581, US
Phone (313) 685-6384
Fax
Business Location
3079 LEHMAN ST
HAMTRAMCK MI, 48212-3581, US
Phone (313) 685-6384
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Michigan
License Number 6803086151
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According to our database, Mrs. Terina Gaye Edwards BS, SST NPI is 1205121688, taxonomy code is 101YM0800X and license number is 6803086151, license state is located at Michigan. Terina Gaye Edwards BS, SST physically located at 3079 Lehman St, Hamtramck MI, 48212-3581. NPI Number Terina Gaye Edwards BS, SST has the Individual type.

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1205121688 NPI number is provided on an as is basis without warranty of any kind. 1205121688 is maintained by the National Plan & Provider Enumeration System. The contents of Terina Gaye Edwards BS, SST are for informational purposes only.