Individual
MR. TODD BEVERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6500
(515) 643-6598
Mailing address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6500
(515) 643-6598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02557
IA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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