Individual
MS. OLIVIA S. BEAUCHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
898 SCALES RD, SUWANEE, GA 30024-1830
(770) 271-4712
(770) 271-4711
Mailing address
PO BOX 475, SUWANEE, GA 30024-0475
(770) 271-4712
(770) 271-4711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003607
GA
1041C0700X
Clinical Social Worker
SW5669
FL
Other
Enumeration date
07/13/2006
Last updated
08/22/2007
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