Individual
ANIKA C BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3163 KELLY ST SW, BOLLING AFB, DC 20032-7464
(910) 583-6285
Mailing address
3163 KELLY ST SW, BOLLING AFB, DC 20032-7464
(910) 583-6285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012737
NC
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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