Fredrick David Beaver
Fredrick David Beaver is a Child Mental Illness Respite Care in Cochise, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2007
Practice location Address checks out
2750 N Nino PlCochise, AZ 85606
Phone: (520) 253-0352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X (AZ) |
|---|
Record details
| NPI number | 1922282904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 26, 2007 |
| Last updated in NPPES | January 14, 2008 |
| Mailing address | Po Box 272, Dragoon, AZ 85609-0272 |