Timothy A Beauparlant
Social Worker, Clinical in Saint Peters, MO. Individual provider (NPI-1).
NPI number1376864751
StatusActive
Last updated in NPPESJun 19, 2010
Details
- NPI
- 1376864751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy A Beauparlant
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2010
- Last updated
- Jun 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 000851 | MO | Yes |
Practice location
500 Jungermann RdSuite 102
Saint Peters, MO 63376-2775
Phone 636-795-1233
Mailing address
4 Canterbury DrSaint Peters, MO 63376-2913
Phone 636-795-1233
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