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MICHELLE J. BEAUPRE LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1295237139

Individual Registrant:
 MICHELLE J. BEAUPRE LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
16950 VIA DE SANTA FE # 5060-118  RANCHO SANTA FE, CA 92091-4606 US
Tel: 760-504-9375  Fax: --

Contact information for business:
PO BOX 501436  SAN DIEGO, CA 92150-1436 US
Tel: 760-504-9375  Fax: --

Registration Information:
NPI: 1295237139
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCSW82215

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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