Diane R Edwards

NPI #1538366075 in Casper, Wyoming

Provider Information

NPI Number
1538366075
Entity Type
Organization
Organization Name
Diane R Edwards
Primary Specialty
Counselor
Enumeration Date
Jun 28, 2007
Last Updated
Jul 27, 2015

Practice Location

Address
915 S DAVID ST
City
Casper
State
Wyoming
ZIP Code
82601-3737
Phone
(307) 472-3769

Authorized Official

Name
DR. DIANE ROSE EDWARDS, MD
Title
OWNER
Phone
(307) 472-3769

Specialties & Taxonomy Codes

Specialty
Counselor

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