Individual
BETHANY ELIZABETH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 HOSPITAL DR, MORRILTON, AR 72110-4510
(501) 354-1561
(501) 354-1564
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 725-5115
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7207-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227112719
—
AR
Enumeration date
01/20/2011
Last updated
04/21/2020
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