MEDICARE: MRS. JUNE E. BEASLEY-KEEFE LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	4579	SC

General Provider Information

NPI Number	:	1154668937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUNE E. BEASLEY-KEEFE LMSW

Provider Business Mailing Address
First Line	:	605 W MAIN ST
Second Line	:	LEXINGTON
City	:	LEXINGTON
State	:	SC
Zip	:	29072-2503
Country	:	US
Telephone Number	:	803-359-5526
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 W MAIN ST
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-2503
Country	:	US
Telephone Number	:	803-359-5526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	01/14/2013

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