Individual
YAUANA BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18514 PENTECOSTAL ST, ELLENDALE, DE 19941-3358
(302) 424-8080
Mailing address
18514 PENTECOSTAL ST, ELLENDALE, DE 19941-3358
(302) 424-8080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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