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Individual

MRS. VELVET DENISE BECKWITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
721 TUCKER ST, RALEIGH, NC 27603-1248
(919) 833-8862
(919) 833-8595
Mailing address
64 RIDGEWAY DREWRY RD, PO BOX 286, MANSON, NC 27553-9737
(252) 456-4057

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1071
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6111888
NC
Enumeration date
03/14/2007
Last updated
07/09/2007
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