Individual
JESSICA BEU
Active
Individual
JESSICA BEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW125153
PA
1041C0700X
Clinical Social Worker
Primary
CW021054
PA
Other
Enumeration date
08/15/2012
Last updated
01/22/2021
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