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NPI Code Detail

MEDICARE: GLENNA EDWARDS

MEDICARE: GLENNA 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
1104100000XSocial WorkerS.2513050OH

General Provider Information

NPI Number : 1750244380
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENNA EDWARDS
Provider Business Mailing Address
First Line : 2619 ERIE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2001
Country : US
Telephone Number : 513-549-0160
Fax Number :
Provider Business Practice Location Address
First Line : 2619 ERIE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2001
Country : US
Telephone Number : 513-549-0160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ GLENNA EDWARDS ” Practice Location

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