Individual
MRS. JOHANNA MARIA EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
48 HASELL ST, CHARLESTON, SC 29401-1616
(843) 259-8013
Mailing address
214 WENTWORTH ST, CHARLESTON, SC 29401-1252
(843) 259-8013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8539
SC
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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