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Individual
MRS. JULIA EVANS
Active
Individual
MRS. JULIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32996
IL
104100000X
Social Worker
150.101987
IL
1041C0700X
Clinical Social Worker
Primary
012096
CT
1041C0700X
Clinical Social Worker
149019336
IL
Other
Enumeration date
02/15/2017
Last updated
05/12/2022
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