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1346859204
MICHAEL WALTER BEACH
RICHMOND, VA
NPI
1346859204
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Former Name
MICHAEL WALTER BUTT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904011985)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
Mr. MICHAEL WALTER BEACH LCSW
107 S 5TH ST
RICHMOND, VA 23219-3825
Phone number: 804-819-4000
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Mailing Address
Mr. MICHAEL WALTER BEACH LCSW
6114 DUCK COVE RD
MIDLOTHIAN, VA 23112-2235
Phone number: 352-502-5129
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