MS. Myra Kay Edgeworth, LCSW

NPI #1083742134 in Johnson City, Tennessee

Provider Information

NPI Number: 1083742134
Entity Type: Individual
Name: MS. Myra Kay Edgeworth, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Mar 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 109 WEST WATAUGA AVENUE
City: Johnson City
State: Tennessee
ZIP Code: 37604
Phone: (423) 979-7474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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