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Individual

MRS. VIRGINIA BEULKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-5243
(928) 669-5549
Mailing address
12302 KENNEDY DR, PARKER, AZ 85344-9734
(928) 669-5243
(928) 669-5549

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/24/2013
Last updated
04/24/2013
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