Individual
MRS. CLARE ANN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1280 WINDHAM PKWY, ROMEOVILLE, IL 60446-1673
(815) 942-6323
(815) 942-6423
Mailing address
1401 LAKEWOOD DR, SUITE A, MORRIS, IL 60450-3352
(815) 942-6323
(815) 942-6423
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
149008380
IL
1041C0700X
Clinical Social Worker
Primary
149008380
IL
Other
Enumeration date
06/02/2008
Last updated
12/20/2010
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