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NOREEN EDWARDS LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1487010567
Individual Registrant: NOREEN EDWARDS LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1100 MAIN ST STE C FORTUNA, CA 95540-2148 US
Tel: 707-601-1483 Fax: 707-442-0239
Tel: 707-601-1483 Fax: 707-442-0239
Contact information for business:
1100 MAIN ST STE C FORTUNA, CA 95540-2148 US
Tel: 707-601-1483 Fax: 707-442-0239
Tel: 707-601-1483 Fax: 707-442-0239
Registration Information:
NPI: 1487010567
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCSW 69665 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
