MRS. Michele Lynnette Edwards, LCSW

NPI #1700156593 in Matteson, Illinois

Provider Information

NPI Number: 1700156593
Entity Type: Individual
Name: MRS. Michele Lynnette Edwards, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 10, 2012
Last Updated: Jan 10, 2012

Practice Location

Address: 260 PROVIDENCE DR
City: Matteson
State: Illinois
ZIP Code: 60443-1390
Phone: (708) 720-3628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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