Individual
MRS. CLARE ANN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
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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