Individual
BEATRICE BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 MILLERSVILLE DR, INDIANAPOLIS, IN 46205-2854
(372) 289-8118
Mailing address
4012 MILLERSVILLE DR, INDIANAPOLIS, IN 46205-2854
(372) 289-8118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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