Individual
BEONCA NICOLE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 WATER ST, BILOXI, MS 39530-4220
(504) 358-8912
Mailing address
770 WATER ST, BILOXI, MS 39530-4220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/07/2018
Last updated
04/14/2026
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