Individual
MRS. BEVERLY SIVLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DRIVE, DEPT. OF BEHAVIORAL HEALTH, FORT CAMPBELL, KY, KY 42223-5349
(270) 956-0620
Mailing address
428 CARDINAL DR, HOPKINSVILLE, KY 42240-4803
(270) 985-8323
(270) 885-6866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1241
KY
Other
Enumeration date
01/31/2007
Last updated
02/17/2012
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