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1760776322
IEISHA BEASLEY
LOUISVILLE, KY
NPI
1760776322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 252275)
Enumeration Date
2011-06-01
Last Update Date
2023-02-08
Business Address
IEISHA BEASLEY
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216-2994
Phone number: 502-810-3780
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Mailing Address
IEISHA BEASLEY
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number:
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