Individual
MR. GERALD BENJAMIN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1601 WALNUT ST, SUITE 1017, PHILADELPHIA, PA 19102-2944
(215) 564-0488
(215) 564-1245
Mailing address
1601 WALNUT ST, SUITE 1017, PHILADELPHIA, PA 19102-2944
(215) 564-0488
(215) 564-1245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CWO12294
PA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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