Individual
MRS. CLOVER BEAUDUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2632 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2845
(772) 873-8811
Mailing address
722 NW FAIRHAVEN DR, PORT ST LUCIE, FL 34983-1080
(772) 446-9479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19843
FL
Other
Enumeration date
11/14/2017
Last updated
06/28/2022
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