Individual
EVAN TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
10142 KINGS GROVE WAY, DAMASCUS, MD 20872-1737
(207) 807-2043
Mailing address
10142 KINGS GROVE WAY, DAMASCUS, MD 20872-1737
(207) 807-2043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24145
MD
Other
Enumeration date
03/20/2022
Last updated
09/02/2025
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