Individual
ALETA DIANE BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 PROGRESS PKWY, SULLIVAN, MO 63080
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005262
MO
Other
Enumeration date
02/06/2008
Last updated
01/25/2019
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