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Individual

JOSHUA AARON EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
2250 THUNDERSTICK DR., SUITE 1104, LEXINGTON, KY 40505
(859) 254-1035
(913) 621-5730
Mailing address
2250 THUNDERSTICK DR., SUITE 1104, LEXINGTON, KY 40505
(859) 254-1035
(913) 621-5730

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254708
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100665780
KY
Enumeration date
08/08/2011
Last updated
10/05/2020
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