Individual
EVELYN JUNGHYUN ANASTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
612 RIDGELINE DR UNIT 221, FORT MILL, SC 29708-9463
(732) 754-0434
Mailing address
612 RIDGELINE DR UNIT 221, FORT MILL, SC 29708-9463
(732) 754-0434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
092278
NY
1041C0700X
Clinical Social Worker
17136
SC
1041C0700X
Clinical Social Worker
Primary
C017565
NC
Other
Enumeration date
10/29/2018
Last updated
11/27/2024
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