Individual
RACHEL J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 676-7119
(816) 236-2424
Mailing address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 676-7119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014030733
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014030733
LICENSED CLINICAL SOCIAL WORKER
MO
Enumeration date
10/05/2017
Last updated
10/05/2017
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