Individual
DIARA BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 PAM ANN LN, LOTHIAN, MD 20711-2600
(443) 440-5780
Mailing address
2937 SCARBOROUGH CIR, WINDSOR MILL, MD 21244-8064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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