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MS. CAROL VIRGINIA BEALL LCSW

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

Registrant NPI Number: 1831288653

Individual Registrant:
MS. CAROL VIRGINIA BEALL LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
1587 DAYTONA AVE  HOLLY HILL, FL 32117-2236 US
Tel: 386-869-0232  Fax: --

Contact information for business:
1598 RIVERSIDE DR  HOLLY HILL, FL 32117-2237 US
Tel: 386-238-7163  Fax: --

Registration Information:
NPI: 1831288653
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
FLSW 3679

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
7677359 00FL05




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