Individual
MS. BEVERLY BOOTH LOWDERMILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
704 MAPLE ST W, FAYETTEVILLE, TN 37334-3202
(931) 438-3233
(931) 438-0727
Mailing address
316 COLLEGE ST E, FAYETTEVILLE, TN 37334-3006
(931) 227-8031
(931) 438-0727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4215
TN
Other
Enumeration date
07/06/2011
Last updated
12/09/2013
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