Individual
MR. ROBERT LEE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
522 W PARK AVE, GREENWOOD, MS 38930-2906
(662) 374-5029
(662) 374-5032
Mailing address
860 RIVE PLACE SUITE 100, JACKSON, MS 39202-2906
(769) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
07/21/2022
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