Individual
JEFFERY ALLEN BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.H.ED., LMSW
Contact information
Practice address
4600 STONELEA PL, LA GRANGE, KY 40031-6706
(502) 381-9053
Mailing address
4600 STONELEA PL, LA GRANGE, KY 40031-6706
(502) 381-9053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4633
TN
Other
Enumeration date
01/30/2013
Last updated
06/25/2021
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