Provider Information for 1962906388
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Ms. ASHLEY S BEVERLY LMSW
Sex: Female
NPI: 1962906388
Last Updated: 2022-03-24
Certification Date: 2022-03-24
Certification Date: 2022-03-24
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1962906388 | ||||||||||||
| Enumeration Date | 2018-03-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1989 OBSIDIAN TRAIL HEARTLAND, TX 75126-8895 United States Phone: 817-703-5832 | Fax: | ||||||||||||
| Primary Practice Address | 4500 S LANCASTER RD DALLAS, TX 75216-7167 United States Phone: 214-742-8387 | Fax: | ||||||||||||
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