Individual
CANDICE C BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, DSW, LCSW-BACS
Contact information
Practice address
4220 LASALLE ST, NEW ORLEANS, LA 70115-6248
(504) 258-1139
Mailing address
4220 LASALLE ST, NEW ORLEANS, LA 70115-6248
(504) 258-1139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11475
LA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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