Individual
KATELYN MARIE EVANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 HARTZELL LN APT 6, EAU CLAIRE, WI 54703-7609
(715) 697-6566
Mailing address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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