Mirgeaux, Beverly

Mirgeaux, Beverly is an individual health care provider with primary practice located at 3065 William St Suite 209, Cape Girardeau MO 63703-6393. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mirgeaux, Beverly can be contacted via phone (573) 335-4100.

Contact Information

Primary practice address
3065 William St Suite 209 Cape Girardeau MO 63703-6393
Phone: (573) 335-4100
Fax: (573) 339-7887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003216 Missouri

Profile Details

NPI number 1770671588
LBN Legal business name Mirgeaux, Beverly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Sep 12th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770671588 NPPES
Missouri MEDICAID 1417959149

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