Individual
MRS. CONNIE L BEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. L.P.C.
Contact information
Practice address
325 FOREST GROVE DR, SUITE 201, PEWAUKEE, WI 53072-3894
(262) 271-5511
(262) 691-2972
Mailing address
325 FOREST GROVE DR, SUITE 201, PEWAUKEE, WI 53072-3894
(262) 271-5511
(262) 691-2972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1976-125
WI
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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