Individual
MS. CATHLEEN MARIE WALLEN BEAUSEIGNEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
607 SW SAINT LUCIE CRES, SUITE 101, STUART, FL 34994-2851
(716) 665-9805
Mailing address
10864 SW BLUE MESA WAY, PORT SAINT LUCIE, FL 34987-2138
(716) 665-9805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R056450
NY
1041C0700X
Clinical Social Worker
Primary
SW8480
FL
Other
Enumeration date
03/07/2006
Last updated
06/13/2011
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