Individual
ANNA BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10430 PARK RD STE 200, CHARLOTTE, NC 28210-8541
(704) 364-9176
Mailing address
10430 PARK RD STE 200, CHARLOTTE, NC 28210-8541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A17740
NC
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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