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Individual

MRS. PATTY ANNE BEATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW/MHP

Contact information

Practice address
16342 N IL HIGHWAY 37, MOUNT VERNON, IL 62864-8178
(618) 242-1510
(618) 242-6392
Mailing address
16342 N IL HWY 37, MOUNT VERNON, IL 62864-5007
(618) 242-1510
(618) 242-0958

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IL

Other

Enumeration date
12/10/2015
Last updated
12/10/2015
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