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1174180814
BEVERLY DIANA GHOLSTON
WASHINGTON, DC
NPI
1174180814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DC LC301977)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
BEVERLY DIANA GHOLSTON
4130 HUNT PL NE
WASHINGTON, DC 20019-3565
Phone number: 202-388-4300
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Mailing Address
BEVERLY DIANA GHOLSTON
11806 LUSBYS LN
BRANDYWINE, MD 20613-7678
Phone number: 301-467-4626
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