Individual
BEVERLY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
711 SULLIVAN ST, ELMIRA, NY 14901-2322
(607) 734-6151
(607) 734-2943
Mailing address
116 ELSBREE ST, SAYRE, PA 18840-1209
(570) 888-5471
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
054545-1
NY
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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