Individual
SANDRA S EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 CLARDELL AVE SW, CANTON, OH 44706-4351
(330) 309-8134
Mailing address
5022 CLARDELL AVE SW, CANTON, OH 44706-4351
(330) 309-8134
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
7606657
OH
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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