Edwards, Michele Lynnette
Edwards, Michele Lynnette is an sole proprietor health care provider with primary practice located at 260 Providence Dr , Matteson IL 60443-1390. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Edwards, Michele Lynnette can be contacted via phone (708) 720-3628.Contact Information
Primary practice address
260 Providence Dr
Matteson IL 60443-1390
Phone: (708) 720-3628
Fax: (708) 720-3628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149002753 | Illinois |
Profile Details
| NPI number | 1700156593 |
|---|---|
| LBN Legal business name | Edwards, Michele Lynnette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2012 |
| Last updated | Jan 10th, 2012 - about 12 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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