MEDICARE: DEBORAH A EDWARDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1700106754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A EDWARDS

Provider Business Mailing Address
First Line	:	544 WABASH AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64124-1747
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	544 WABASH AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64124-1747
Country	:	US
Telephone Number	:	816-231-5788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2010
Last Update Date	:	06/01/2010

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Directions to “ DEBORAH A EDWARDS ” Practice Location

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