Individual
KYLE THOMAS BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
396 S CENTRE ST STE 3, POTTSVILLE, PA 17901-3597
(570) 640-3744
(570) 516-9344
Mailing address
396 S CENTRE ST STE 3, POTTSVILLE, PA 17901-3597
(570) 640-3744
(570) 516-9344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW143235
PA
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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