Edgeworth, Myra Kay

Edgeworth, Myra Kay is an individual health care provider with primary practice located at 109 West Watauga Avenue , Johnson City TN 37604. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Edgeworth, Myra Kay can be contacted via phone (423) 979-7474.

Contact Information

Primary practice address
109 West Watauga Avenue Johnson City TN 37604
Fax: (423) 232-2789
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 4492 Tennessee

Profile Details

NPI number 1083742134
LBN Legal business name Edgeworth, Myra Kay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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