Individual
MS. MARA S EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., M.ED
Contact information
Practice address
14 GULLY LN, E SANDWICH, MA 02537-1304
(508) 888-6217
Mailing address
14 GULLY LN, E SANDWICH, MA 02537-1304
(508) 888-6217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
248842
MA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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