Individual
MS. MARY B BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED. LPC MHSP
Contact information
Practice address
1080 LITTLE MARROWBONE RD, ASHLAND CITY, TN 37015
(615) 308-5564
Mailing address
1080 LITTLE MARROWBONE RD, ASHLAND CITY, TN 37015
(615) 308-5564
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
605
TN
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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