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Individual
LYNDA G EVANS
Active
Individual
LYNDA G EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 5366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761685600
—
FL
Enumeration date
05/08/2007
Last updated
04/08/2010
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