Beverly West
Beverly West is a Developmental Therapist in Glen Carbon, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
116 Clay StGlen Carbon, IL 62034-1431
Phone: (618) 444-6310
Fax: (618) 288-3821
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1053432625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2007 |
| Last updated in NPPES | September 25, 2024 |
| Certification date | September 25, 2024 |
| Mailing address | 116 Clay St, Glen Carbon, IL 62034-1431 |
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