Individual
JENNELLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
667 CORSICA AVE, BEAR, DE 19701-2513
(516) 581-6386
Mailing address
667 CORSICA AVE, BEAR, DE 19701-2513
(302) 365-5935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q10001314
DE
Other
Enumeration date
09/27/2019
Last updated
01/09/2025
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