Beverly West
NPI #1053432625 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1053432625
- Entity Type
- Individual
- Name
- Beverly West
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 116 CLAY ST
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1431
- Phone
- (618) 444-6310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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