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Individual

DE'ASIA BEAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11616 SOUTHFORK AVE, BATON ROUGE, LA 70816-5241
(225) 291-9718
Mailing address
11616 SOUTHFORK AVE, BATON ROUGE, LA 70816-5241
(225) 291-9718

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
011938437
LA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/22/2021
Last updated
08/04/2022
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