Individual
MRS. BEVERLY HUBBLE TAUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10372 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 591-2551
(703) 591-2563
Mailing address
1405 GREENWOOD PL, ALEXANDRIA, VA 22304-1604
(703) 823-8993
(703) 823-8994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004645
VA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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