Individual
MS. BEVERLY S LESYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 TWINING STREET, MAXWELL AFB, AL 36112
(334) 953-5143
(334) 953-1900
Mailing address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5055
(334) 953-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0974-2352C
AL
1041C0700X
Clinical Social Worker
CSW001773
GA
Other
Enumeration date
09/19/2005
Last updated
03/16/2018
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