Individual
CLARA CORRINA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DBHR-PEER
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
CG60329346
WA
Other
Enumeration date
09/10/2012
Last updated
06/04/2021
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