Most Relevant Information
Provider Data
| NPI Number: | 1003079542 |
| Provider Name: | JEFRI SUSAN EDWARDS MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/04/2008 |
| Last Updated: | 07/04/2008 |
Provider Practice Location
321 CASSIDY ST
OCEANSIDE
CA
920545314
Practice Location Phone/Fax
| Phone: | 7607212171 |
| Fax: |
Provider Mailing Location
321 CASSIDY ST
OCEANSIDE
CA
920545314
Provider Mailing Phone/Fax
| Phone: | 7607212171 |
| Fax: |