Provider Information for 1235567132
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BEVERLY ANN VANOVER LPC
Sex: Female
NPI: 1235567132
Last Updated: 2018-11-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1235567132 | ||||||||||||||||
| Enumeration Date | 2013-10-31 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 3201 HARMONY RD APT 14 ALMA, AR 72921-6609 United States Phone: 417-737-9908 | Fax: | ||||||||||||||||
| Primary Practice Address | 3201 HARMONY RD APT 14 ALMA, AR 72921-6609 United States Phone: 417-737-9908 | Fax: | ||||||||||||||||
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