Tina Louise Edwards

NPI #1013683655 in Macclenny, Florida

Provider Information

NPI Number: 1013683655
Entity Type: Individual
Name: Tina Louise Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 23, 2021
Last Updated: Aug 23, 2021

Practice Location

Address: 84 W LOWDER ST
City: Macclenny
State: Florida
ZIP Code: 32063-2638
Phone: (352) 374-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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