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Individual

MRS. BEVERLEY MCCOSHAM LARKAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2102 RALEIGH AVENUE, AUSTIN, TX 78703-2128
(512) 476-4192
(512) 476-5648
Mailing address
2102 RALEIGH AVENUE, AUSTIN, TX 78703-2128
(512) 476-4182
(512) 476-5648

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
WS0001440
TX
Enumeration date
02/07/2007
Last updated
09/11/2025
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