Individual
MICHELLE DENISE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 DELAWARE ST, LAWRENCE, KS 66046-3149
(785) 865-5520
(785) 865-5695
Mailing address
2113 DELAWARE ST, LAWRENCE, KS 66046-3149
(785) 865-5520
(785) 865-5695
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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