Tina K Beverly, LMSW-CC

NPI #1659726172 in Newport, Maine

Provider Information

NPI Number: 1659726172
Entity Type: Individual
Name: Tina K Beverly, LMSW-CC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW-CC
Enumeration Date: May 3, 2016
Last Updated: May 3, 2016

Practice Location

Address: 442 MOOSEHEAD TRL
City: Newport
State: Maine
ZIP Code: 04953-4004
Phone: (207) 907-7205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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