Individual
ELEANOR M BEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1600 FORT BENNING RD, COLUMBUS, GA 31903-2834
(706) 322-9599
(706) 221-8593
Mailing address
1600 FORT BENNING RD, COLUMBUS, GA 31903-2834
(706) 322-9599
(706) 221-8593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1418C
AL
1041C0700X
Clinical Social Worker
Primary
CSW001620
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164144
—
AL
05
—
355976187C
—
GA
Enumeration date
03/03/2010
Last updated
02/08/2017
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