Male or Other

Mr. Terry Edwards

Clinical Social Worker in Dearborn, MI(View on Map)

Full Name

Mr. Terry Edwards

NPI Number

1316279821

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/08/2010

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Michigan
Texas

License Number

6801091572
64500

Contact
Information

Purpose

Mailing
Location

Address

5111 AUTO CLUB DR
5111 AUTO CLUB DR

City

Dearborn
Dearborn

State

MI
MI

Postal Code

48126-2749
48126-2749

Country

US
US

Telephone Number

(313) 317-2000
(313) 317-2000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/19/2019

Provider Address

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