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1891293106
DECRESE A BEVERLY
MEMPHIS, TN
NPI
1891293106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-01
Last Update Date
2018-05-25
Business Address
DECRESE A BEVERLY
5405 FOX PLAZA DR # 108G
MEMPHIS, TN 38115
Phone number: 901-497-6234
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Mailing Address
DECRESE A BEVERLY
6080 WATERSTONE OAK WAY
MEMPHIS, TN 38115-4045
Phone number: 901-497-6234
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