Provider Demographics
NPI:1699980698
Name:EDWARDS-SHARPE, DEBORAH (LISW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:EDWARDS-SHARPE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:SHARPE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW
Mailing Address - Street 1:1077 GORGE BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2408
Mailing Address - Country:US
Mailing Address - Phone:234-312-6016
Mailing Address - Fax:
Practice Address - Street 1:1493 S HAWKINS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3416
Practice Address - Country:US
Practice Address - Phone:330-865-5333
Practice Address - Fax:330-865-5331
Is Sole Proprietor?:No
Enumeration Date:2007-05-12
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0004826104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker