Tiffany Nicole Edwards LSW

NPI 1053659870 - Social Worker - 104100000X

NPI Details
NPI 1053659870
Gender Female
Enumeration Date 01/29/2013
Last Updated 06/15/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
9301 MADISON ST
CROWN POINT IN, 46307-7745, US
Phone (219) 662-5000
Fax
Business Location
9301 MADISON ST
CROWN POINT IN, 46307-7745, US
Phone (219) 662-5000
Fax
Toxanomy
Taxonomy Code 104100000X
License State Illinois
License Number 150012419
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According to our database, Ms. Tiffany Nicole Edwards LSW NPI is 1053659870, taxonomy code is 104100000X and license number is 150012419, license state is located at Illinois. Tiffany Nicole Edwards LSW physically located at 9301 Madison St, Crown Point IN, 46307-7745. NPI Number Tiffany Nicole Edwards LSW has the Individual type.

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1053659870 NPI number is provided on an as is basis without warranty of any kind. 1053659870 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Nicole Edwards LSW are for informational purposes only.