BEVERLY MICHAEL

GRANTS, NM
NPI1336263656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  I-06355)
Enumeration Date2007-03-19
Last Update Date2007-11-17
Business Address
-- BEVERLY MICHAEL LISW
1109 MESA BLVD SUITE D
GRANTS, NM 87020-3038
Phone number: 505-980-0886
Mailing Address
-- BEVERLY MICHAEL LISW
1109 MESA BLVD SUITE D
GRANTS, NM 87020-3038
Phone number: 505-980-0886
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