Individual
MADISON L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, SWLC
Contact information
Practice address
404 9TH AVE WEST, KALISPELL, MT 59901
(406) 550-7154
Mailing address
404 9TH AVE WEST, KALISPELL, MT 59901
(406) 550-7154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-69162
MT
Other
Enumeration date
06/26/2023
Last updated
01/05/2024
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