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Individual
MATTHEW RAY EVANS
Active
Individual
MATTHEW RAY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHA 3
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6670410
CASE MANAGER
—
Enumeration date
08/28/2020
Last updated
08/11/2025
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