Individual
CASSONDRA JANE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
969B CHEROKEE RD, LOUISVILLE, KY 40204-2390
(502) 619-1375
(502) 479-9190
Mailing address
969B CHEROKEE RD, LOUISVILLE, KY 40204-2390
(502) 619-1375
(502) 479-9190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1090
AK
104100000X
Social Worker
6299
KY
Other
Enumeration date
10/26/2010
Last updated
08/10/2012
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