Individual
DR. D AMANDA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12590 WHITEHALL DR STE 3, FORT MYERS, FL 33907-4680
(239) 939-9090
Mailing address
8942 ELLINGTON ST, FORT MYERS, FL 33907-5913
(239) 691-0753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13344
FL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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