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Individual

CLARA CORRINA EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DBHR-PEER

Contact information

Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200

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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