Deeidra S Edmunds, LICSW
NPI #1073077475 in Proctorville, Ohio
Provider Information
- NPI Number
- 1073077475
- Entity Type
- Individual
- Name
- Deeidra S Edmunds, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 30, 2019
- Last Updated
- Nov 4, 2022
Practice Location
- Address
- 302 STATE ST
- City
- Proctorville
- State
- Ohio
- ZIP Code
- 45669-5004
- Phone
- (740) 479-5135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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