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Individual
SHELBEY WATSON-BEASLEY
Active
Individual
SHELBEY WATSON-BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6851110325
MI
1041C0700X
Clinical Social Worker
Primary
6801117215
MI
Other
Enumeration date
05/11/2023
Last updated
05/09/2024
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