Individual
COLIE NATHANUAL BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 BOWDOIN ST, BOSTON, MA 02114-4201
(857) 544-1320
Mailing address
1059 TREMONT ST STE 2, BOSTON, MA 02120-2193
(857) 544-1320
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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