# MR. EVAN KEVELSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063809580
- **Gender:** Man
- **Credential:** LMSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 066232 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 066232 | NY | Yes |

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 04/22/2015