EDWIN ANTOINE GRESHAM

COLUMBUS, MS
NPI1841536406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW005584)
Enumeration Date2012-12-28
Last Update Date2021-07-12
Business Address
EDWIN ANTOINE GRESHAM LCSW
201 INDEPENDENCE DRIVE
COLUMBUS, MS 39710-5300
Phone number: 662-434-2273
Mailing Address
EDWIN ANTOINE GRESHAM LCSW
201 INDEPENDENCE DRIVE
COLUMBUS, MS 39710-5300
Phone number: 662-434-2273