Individual
GRACE TERESA BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
6206 FLORENCE DR, MORROW, GA 30260-1380
(404) 861-9247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
059665344
GA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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