Individual
MR. ROBERT GALE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL CAMP ATTERBURY, FORT KNOX, KY 40121-5111
(502) 642-9007
(502) 624-0252
Mailing address
4294 S JORDAN DR, MC FARLAND, WI 53558-9057
(608) 835-5980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2713-123
WI
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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