Individual
EVAN FREDRICK LIEBERMAN
Active
Individual
EVAN FREDRICK LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LGSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303715
MN
1041C0700X
Clinical Social Worker
Primary
25758
MN
Other
Enumeration date
10/20/2016
Last updated
11/29/2021
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