Provider Information for 1922697697
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KRISTEN ELIZABETH EDWARDS LCSW
Sex: Female
NPI: 1922697697
Last Updated: 2021-01-15
Certification Date: 2021-01-15
Certification Date: 2021-01-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922697697 | ||||||||
| Enumeration Date | 2021-01-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5418 DENTON DR DALLAS, TX 75235-7511 United States Phone: 972-333-2069 | Fax: | ||||||||
| Primary Practice Address | 5418 DENTON DR DALLAS, TX 75235-7511 United States Phone: 972-333-2069 | Fax: | ||||||||
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