Individual
MRS. SHEENA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
8401 MEDICAL PLAZA DR, SUITE 360, CHARLOTTE, NC 28262-8797
(702) 208-4458
Mailing address
4100 TENNESSEE AVE, CHARLOTTE, NC 28216-3861
(704) 713-1361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P009652
NC
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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