Individual
BEVERLY DIANE SWEETING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, CLC, MSW
Contact information
Practice address
10961 SW IVORY SPRINGS LN, PORT ST LUCIE, FL 34987-7710
(786) 512-3680
Mailing address
10961 SW IVORY SPRINGS LN, PORT ST LUCIE, FL 34987-7710
(786) 512-3680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW9571
FL
164W00000X
Licensed Practical Nurse
PN441421
FL
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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