Individual
KAREN GOODMAN BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, ITFS
Contact information
Practice address
307 S SALEM ST, SUITE 101, APEX, NC 27502-1845
(919) 418-7175
(919) 355-1551
Mailing address
307 S SALEM ST, SUITE 101, APEX, NC 27502-1845
(919) 418-7175
(919) 355-1551
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NC
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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