Individual
MRS. BEVERLY ANN POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
857 PRAIRIE LN, EVANS, GA 30809-4294
(706) 840-0368
Mailing address
857 PRAIRIE LN, EVANS, GA 30809-4294
(706) 840-0368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002820
GA
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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