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1861822611
FREDERICK BEVERLY
OAKLAND, CA
NPI
1861822611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- FREDERICK BEVERLY
4368 LINCOLN AVE
OAKLAND, CA 94602-3314
Phone number: 510-531-3111
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Mailing Address
-- FREDERICK BEVERLY
1732 E 23RD ST
OAKLAND, CA 94606-3314
Phone number:
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