Individual
MR. MICHAEL ALLEN BESWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1802 HARPER RD STE 200, BECKLEY, WV 25801-3376
(681) 238-5733
Mailing address
1802 HARPER RD STE 200, BECKLEY, WV 25801-3376
(681) 238-5733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP02943125
WV
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
DP02943125
WV
Other
Enumeration date
11/07/2012
Last updated
04/20/2021
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