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Individual

JAIMIE RACHELLE EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3410 E MARKET ST STE B, YORK, PA 17402-2662
(717) 509-9875
(717) 509-9876
Mailing address
3410 E MARKET ST STE B, YORK, PA 17402-2662
(717) 509-9875
(717) 509-9876

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018894
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102980085 0001
PA
01
CW018894
LICENSE
PA
Enumeration date
06/09/2011
Last updated
06/01/2016
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