# MRS. LUEATA ANN EVENSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568637254
- **Gender:** F
- **Credential:** LSCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 3078 | KS | — |
| 1041C0700X | Clinical Social Worker | 05394 | KS | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 03/31/2021