Individual
A. JANE BEAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS WAY, SLOT 900, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1 CHILDRENS WAY, SLOT 900, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
020-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176947719
—
AR
Enumeration date
10/23/2008
Last updated
11/18/2009
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