Individual
MS. KAREN RUTH EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6851 COURTHOUSE RD, CHESTERFIELD, VA 23832-5308
(804) 715-3215
(804) 715-3233
Mailing address
7518 VELVET ANTLER DR, MIDLOTHIAN, VA 23112-1918
(804) 739-5177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005265
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904005265
LICENSED CLINICAL SOCIAL
VA
Enumeration date
09/04/2006
Last updated
07/08/2007
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