Individual
DR. BEVERLEY BANKS WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2014 VANDALIA ST, COLLINSVILLE, IL 62234-4848
(618) 345-9536
(618) 345-9587
Mailing address
1919 MEADOW LN, EDWARDSVILLE, IL 62025-5520
(618) 692-0343
(618) 692-0349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149004814
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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