KENNETH EDWARDS

WEST ISLIP, NY
NPI1982796793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  RO36605-01)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
Mr. KENNETH EDWARDS LCSW
500 MONTAUK HWY STE M
WEST ISLIP, NY 11795-4419
Phone number: 631-766-6014
Mailing Address
Mr. KENNETH EDWARDS LCSW
500 MONTAUK HWY STE M
WEST ISLIP, NY 11795-4419
Phone number: 631-766-6014