DARRELL DELMAR EDWARDS

MILWAUKEE, WI
NPI1356173785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20640-130)
Enumeration Date2024-08-15
Last Update Date2024-08-15
Business Address
Mr. DARRELL DELMAR EDWARDS SAC-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
Mailing Address
Mr. DARRELL DELMAR EDWARDS SAC-IT
3789 N 75TH ST
MILWAUKEE, WI 53216-1969
Phone number: 262-422-9225