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Individual
EVON GAYLES
Active
Individual
EVON GAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37058
CA
101YM0800X
Mental Health Counselor
Primary
91811
CA
104100000X
Social Worker
37058
CA
104100000X
Social Worker
91811
CA
Other
Enumeration date
09/13/2018
Last updated
05/27/2021
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