Beaty, Gwenevere

Beaty, Gwenevere is an sole proprietor health care provider with primary practice located at 107 Daphine Dr , Hillsborough NC 27278-2009. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beaty, Gwenevere can be contacted via phone (919) 643-7693.

Contact Information

Primary practice address
107 Daphine Dr Hillsborough NC 27278-2009
Fax: (919) 543-7693
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2536 South Carolina

Profile Details

NPI number 1386893436
LBN Legal business name Beaty, Gwenevere
Credentials LISW-CP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2008
Last updated Sep 13th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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