Individual
BEVERLY A LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1302 S MAIN ST, WATERBURY, CT 06706-1748
(203) 597-9044
Mailing address
516 PLAINVILLE AVE, UNIONVILLE, CT 06085-1501
(860) 673-7606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001258
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140001258CT02
ANTHEM BC/BS
—
Enumeration date
09/17/2006
Last updated
07/08/2007
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