Individual
MINDY BEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 BROAD ST STE F, CAMDEN, SC 29020-2253
(803) 348-4496
Mailing address
PO BOX 829, LEXINGTON, SC 29071-0829
(803) 348-4496
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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