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Individual

BEVERLY KNIGHTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
3101 ELK DR, MCALESTER, OK 74501-7606
(229) 584-2540
(229) 226-2036

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
4950
KS
1041C0700X
Clinical Social Worker
2283-C
AR
1041C0700X
Clinical Social Worker
Primary
7117
OK
1041C0700X
Clinical Social Worker
CSW005914
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2283-C
LCSW
AR
01
4950
MASTER SOCIAL WORKER
KS
Enumeration date
08/17/2006
Last updated
03/12/2020
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