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CAROLINE BEAUREGARD

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1376970582

Individual Registrant:
 CAROLINE  BEAUREGARD 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3203 MIDDLE ST  SULLIVANS ISLAND, SC 29482-8650 US
Tel: 303-588-9511  Fax: --

Contact information for business:
3203 MIDDLE ST  SULLIVANS ISLAND, SC 29482-8650 US
Tel: 303-588-9511  Fax: --

Registration Information:
NPI: 1376970582
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1588615918SC05




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