Individual
MS. CAROL A. BECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 MAIN ST, MACHIAS, ME 04654-1165
(207) 255-3417
Mailing address
PO BOX 601, MACHIAS, ME 04654-0601
(207) 255-3417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4517
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM5964
MEDICARE B PROVIDER NUMBER
ME
Enumeration date
08/22/2008
Last updated
08/22/2008
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