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Individual

MRS. LORI LOU BECKWITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D

Contact information

Practice address
9 OLD KINGS RD N STE 1231113, PALM COAST, FL 32137-4603
(618) 342-8466
(706) 813-8199
Mailing address
PO BOX 1096, COLUMBIA, IL 62236-1096
(618) 281-5777

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH22468
FL
101YP2500X
Professional Counselor
Primary
180.007683
IL
101YP2500X
Professional Counselor
2010021564
MO

Other

Enumeration date
01/04/2011
Last updated
08/03/2023
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