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Lisa Beatty

Counselor in Fort Pierce, FL. Individual provider (NPI-1).

NPI number1184176406
StatusActive
Last updated in NPPESNov 3, 2016

Details

NPI
1184176406
Entity type
Individual (NPI-1)
Name
Lisa Beatty
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 3, 2016
Last updated
Nov 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

4500 W Midway Rd
Fort Pierce, FL 34981-4823

Phone 772-468-5600

Mailing address

4500 W Midway Rd
Fort Pierce, FL 34981-4823

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