Individual
MATHEW RYAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
107 E GRANITE ST STE B, BUTTE, MT 59701-9327
(208) 610-6549
Mailing address
1945 UTAH AVE, BUTTE, MT 59701-5335
(208) 610-6543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-LIC-51524
MT
Other
Enumeration date
01/02/2022
Last updated
03/21/2023
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