Individual
MRS. BEVERLY KAY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
211 N 5TH AVE, HOPEWELL, VA 23860-2509
(804) 458-2166
Mailing address
211 N 5TH AVE, HOPEWELL, VA 23860-2509
(804) 458-2166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000284
VA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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