Individual
SINTIQUE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.B.S.W.
Contact information
Practice address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
Mailing address
PO BOX 3647, LONGVIEW, TX 75606-3647
(903) 758-2610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19880
LICENSE
TX
Enumeration date
01/04/2007
Last updated
07/08/2007
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