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Individual

MS. SARA L EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
5124 REFORMATORY RD, PENDLETON, IN 46064-8767
(765) 778-8011
Mailing address
4502 W LAKE POTOMAC VW APT B, GREENFIELD, IN 46140-7355
(765) 729-3035

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003726A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39003726A
PLA
IN
Enumeration date
02/11/2021
Last updated
02/11/2021
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