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Individual

KAREN G EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2423 N JEFFERSON AVE, SAINT LOUIS, MO 63106-1937
(314) 531-8878
Mailing address
2423 N JEFFERSON AVE, SAINT LOUIS, MO 63106-1937
(314) 531-8878

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001558
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
493306211
MO
Enumeration date
06/06/2008
Last updated
06/06/2008
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