Individual
BEVERLY ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
2702 N 3RD ST # 2000, PHOENIX, AZ 85004-1130
(623) 374-5447
Mailing address
PO BOX 697, BLACK CANYON CITY, AZ 85324-0697
(623) 374-5447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987191
—
AR
Enumeration date
03/29/2007
Last updated
07/08/2007
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