Provider Demographics
NPI:1235390758
Name:EDWARDS, JOANN I
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:I
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 REEVE TER
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-1507
Mailing Address - Country:US
Mailing Address - Phone:908-222-3273
Mailing Address - Fax:
Practice Address - Street 1:133 REEVE TER
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07062-1507
Practice Address - Country:US
Practice Address - Phone:908-222-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker