Individual
ALISHA P BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BC-TMH
Contact information
Practice address
235 WEST 115TH STREET APT 1A, NEW YORK, NY 10026-2480
(917) 837-4785
Mailing address
235 W 115TH ST APT 1A, NEW YORK, NY 10026-2480
(917) 837-4785
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
089197
NY
Other
Enumeration date
07/25/2018
Last updated
04/16/2020
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