Individual
MS. BEVERLY LEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7337 DUSTY ROSE CV, MEMPHIS, TN 38125-4730
(901) 759-1821
Mailing address
7337 DUSTY ROSE CV, MEMPHIS, TN 38125-4730
(901) 759-1821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LSW0000005399
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000005399
TN
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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