Raquel Latrice Edwards, LLMSW, CAADC-DP

NPI #1104495159 in Mount Clemens, Michigan

Provider Information

NPI Number: 1104495159
Entity Type: Individual
Name: Raquel Latrice Edwards, LLMSW, CAADC-DP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LLMSW, CAADC-DP
Enumeration Date: Jun 23, 2021
Last Updated: Jun 23, 2021

Practice Location

Address: 2 CROCKER BLVD STE 101
City: Mount Clemens
State: Michigan
ZIP Code: 48043-2558
Phone: (586) 468-2266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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