Individual
DORETHA GARRISS BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W HILL ST, BENSON, NC 27504-1133
(919) 901-7260
Mailing address
221 W HILL ST, PO BOX 916, BENSON, NC 27504-1133
(919) 901-7260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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