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VENITA BEATY LMSW

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

Registrant NPI Number: 1982004586

Individual Registrant:
 VENITA  BEATY LMSW
Gender: F
Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD  TUSKEGEE, AL 36083-5001 US
Tel: 334-558-8543  Fax: --

Contact information for business:
PO BOX 123  MILLBROOK, AL 36054-0003 US
Tel: 313-384-6991  Fax: --

Registration Information:
NPI: 1982004586
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
GAMSW005808
N1041C0700XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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