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Individual

BEATRIZ ENEIDA SEALES-TEALDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1425 MCFARLAND AVE, ROSSVILLE, GA 30741-2215
(484) 754-7273
Mailing address
8976 ORCHARD VALLEY LN STE 203, MIDLAND, GA 31820-4292
(910) 624-1445

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457689523
NPI
GA
Enumeration date
11/30/2009
Last updated
05/09/2019
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