Most Relevant Information
Provider Data
| NPI Number: | 1003544644 |
| Provider Name: | MADISON LYNN EDWARDS MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: | 2565430 |
Most Important Dates
| Enumeration Date: | 08/11/2022 |
| Last Updated: | 08/11/2022 |
Provider Practice Location
10611 NW SR 20
BRISTOL
FL
32321
Practice Location Phone/Fax
| Phone: | 6183183087 |
| Fax: |
Provider Mailing Location
53 TALON DR
CRAWFORDVILLE
FL
323272359
Provider Mailing Phone/Fax
| Phone: | 6183183087 |
| Fax: |