Individual
DERLY BEACOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 8TH ST, DES MOINES, IA 50309-1539
(515) 697-5700
Mailing address
620 8TH ST, DES MOINES, IA 50309-1539
(515) 697-5700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118937
IA
Other
Enumeration date
07/19/2023
Last updated
08/02/2023
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