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Individual
SHEILA RENEE EVANS
Active
Individual
SHEILA RENEE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801091220
MI
104100000X
Social Worker
6801091220
MI
1041C0700X
Clinical Social Worker
Primary
6801091220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801091220
STATE OF MI LICENSE
MI
Enumeration date
09/18/2009
Last updated
06/26/2024
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