Individual
TOMYRA S. BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
115 N BROAD ST, MIDDLETOWN, DE 19709-1045
(302) 377-6911
Mailing address
74 TALLEY DR, SMYRNA, DE 19977-4518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
Q3-0010585
DE
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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