Beverly West

NPI 1053432625 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1053432625
Gender Female
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
116 CLAY ST
GLEN CARBON IL, 62034-1431, US
Phone (618) 444-6310
Fax (618) 288-3821
Business Location
116 CLAY ST
GLEN CARBON IL, 62034-1431, US
Phone (618) 444-6310
Fax (618) 288-3821
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Beverly West NPI is 1053432625, taxonomy code is 222Q00000X Beverly West physically located at 116 Clay St, Glen Carbon IL, 62034-1431. NPI Number Beverly West has the Individual type.

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1053432625 NPI number is provided on an as is basis without warranty of any kind. 1053432625 is maintained by the National Plan & Provider Enumeration System. The contents of Beverly West are for informational purposes only.