Individual
MR. BRIAN BEATTY MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
122 MAIN ST, BEREA, KY 40403-1903
(859) 582-0324
Mailing address
122 MAIN ST, BEREA, KY 40403-1903
(859) 582-0324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1877
KY
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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