Individual
MRS. BEVERLY BARTON SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 EDGEMONT RD, SUITE W-1, WYTHEVILLE, VA 24382-4337
(276) 920-4828
Mailing address
100 EDGEMONT RD, SUITE W-1, WYTHEVILLE, VA 24382-4337
(276) 920-4828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001909
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187157
ANTHEM
VA
Enumeration date
03/18/2007
Last updated
07/08/2007
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