Individual
KULISHA Y. BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 BANKS RD, COMMERCE, GA 30529-6303
(706) 386-2063
Mailing address
119 BANKS RD, COMMERCE, GA 30529-6303
(706) 386-2063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW010396
GA
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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