Organization
B BEVILLE AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA BEVILLE LCSW (DIRECT OWNER)
(208) 818-7945
Entity
Organization
Contact information
Practice address
1423 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3335
(208) 765-3400
(208) 683-5213
Mailing address
26176 N CLAGSTONE RD, ATHOL, ID 83801-8914
(208) 818-7945
(208) 683-5213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
03/08/2012
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