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NPI Code Detail

MEDICARE: DOROTHY S BEAMAN MSW

MEDICARE: DOROTHY S BEAMAN MSW
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
11041C0700XClinical Social Worker238MO

General Provider Information

NPI Number : 1790874915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY S BEAMAN MSW
Provider Business Mailing Address
First Line : 7396 PERSHING AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63130-4206
Country : US
Telephone Number : 314-706-4747
Fax Number :
Provider Business Practice Location Address
First Line : 7396 PERSHING AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63130-4206
Country : US
Telephone Number : 314-706-4747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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