Gresham, Edwin Antoine
Gresham, Edwin Antoine is an individual health care provider with primary practice located at 201 Independence Drive , Columbus MS 39710-5300. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gresham, Edwin Antoine can be contacted via phone (662) 434-2273.Contact Information
Primary practice address
201 Independence Drive
Columbus MS 39710-5300
Phone: (662) 434-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005584 | Georgia |
Profile Details
| NPI number | 1841536406 |
|---|---|
| LBN Legal business name | Gresham, Edwin Antoine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2012 |
| Last updated | Jul 12th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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