Individual
SUZAN BEATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 MEADOWLARK ST, SHAW AFB, SC 29152-5019
(803) 895-6199
Mailing address
431 MEADOWLARK ST, SHAW AFB, SC 29152-5019
(803) 895-6199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
P008804
NC
1041C0700X
Clinical Social Worker
C0100286
NC
1041C0700X
Clinical Social Worker
Primary
P008804
NC
Other
Enumeration date
07/07/2014
Last updated
07/22/2025
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