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Individual

DR. ROBERT L EVANS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LCPC, LPC, MAC,

Contact information

Practice address
3200 CRAIN HWY STE 205, WALDORF, MD 20603-4843
(240) 448-2475
(240) 448-2335
Mailing address
13106 HAMPTON FARM LN, BRANDYWINE, MD 20613-5812
(202) 441-7989

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3102
MD
101YP2500X
Professional Counselor
PRC14040
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891005700
MD
Enumeration date
11/27/2017
Last updated
05/17/2023
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