Individual
BEVERLY PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 251-7712
Mailing address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 251-7712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0600746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0600746
LSW
OH
Enumeration date
10/25/2016
Last updated
10/25/2016
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