Individual
MRS. EVELYN SHAVON WHITE-SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT.
Contact information
Practice address
757 HIAWATHA DR, OTTAWA, IL 61350-4640
(815) 272-4594
Mailing address
757 HIAWATHA DR, OTTAWA, IL 61350-4640
(815) 272-4594
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
05/10/2017
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