Individual
CANDICE BEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 CHALMERS ST, GENEVA, IL 60134-2805
(858) 480-6839
(858) 956-7236
Mailing address
1440 W TAYLOR ST STE 1410, CHICAGO, IL 60607-4623
(858) 480-6839
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64349
CA
Other
Enumeration date
06/10/2016
Last updated
09/02/2020
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