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1205502069
TA-TANISHA ELAINE EDWARDS
NORFOLK, VA
NPI
1205502069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 376905001)
Enumeration Date
2021-08-20
Last Update Date
2021-08-20
Business Address
TA-TANISHA ELAINE EDWARDS
5215 COLLEY AVE
NORFOLK, VA 23508-2166
Phone number: 757-629-4352
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Mailing Address
TA-TANISHA ELAINE EDWARDS
5215 COLLEY AVE
NORFOLK, VA 23508-2166
Phone number: 757-629-4352
Copy
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