Most Relevant Information
Provider Data
| NPI Number: | 1003467598 |
| Provider Name: | ANNE RARESHIDE BEACH LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 63033 |
Most Important Dates
| Enumeration Date: | 09/25/2019 |
| Last Updated: | 09/25/2019 |
Provider Practice Location
851 PROFESSIONAL PARK DR
CLARKSVILLE
TN
370405257
Practice Location Phone/Fax
| Phone: | 9315422168 |
| Fax: |
Provider Mailing Location
3361 MELISSA LN
CLARKSVILLE
TN
370426395
Provider Mailing Phone/Fax
| Phone: | 7192358511 |
| Fax: |