Individual
MS. BEVERLY WEAR HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
104 S CASCADE AVE, SUITE 203, COLORADO SPRINGS, CO 80903-2250
(719) 598-6957
Mailing address
902 DUNSTON ST, COLORADO SPRINGS, CO 80907-4133
(719) 598-6957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0152268
CO
Other
Enumeration date
02/10/2007
Last updated
07/08/2007
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