Individual
KRISTY RENEE BEAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351
(309) 829-6808
Mailing address
407 N EVANS ST, APT. #3, BLOOMINGTON, IL 61701-4130
(217) 622-9119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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