Individual
MRS. BRANDI K BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 E SPRING ST, MARIETTA, OH 45750-2439
(740) 516-3802
Mailing address
331 E SPRING ST, MARIETTA, OH 45750-2439
(740) 516-3802
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
4462020
OH
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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