Most Relevant Information
Provider Data
| NPI Number: | 1003479072 |
| Provider Name: | EDWARD P WALSH LMSW-CC |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | MC16792 |
Most Important Dates
| Enumeration Date: | 04/16/2019 |
| Last Updated: | 04/16/2019 |
Provider Practice Location
1 VA CENTER DR
MHC
AUGUSTA
ME
04239
Practice Location Phone/Fax
| Phone: | 2075009321 |
| Fax: |
Provider Mailing Location
1 VA CENTER DR
MHC
AUGUSTA
ME
04239
Provider Mailing Phone/Fax
| Phone: | 2075009321 |
| Fax: |