Willie Edward

NPI #1629494463 in Mccomb, Mississippi

Provider Information

NPI Number
1629494463
Entity Type
Individual
Name
Willie Edward
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Mar 17, 2014
Last Updated
Mar 17, 2014

Practice Location

Address
1701 WHITE ST
City
Mccomb
ZIP Code
39648-2711
Phone
(601) 249-4228

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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