Individual
EVELYN L SEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ACSW
Contact information
Practice address
201 N BROADWAY ST, SUITE 109, MOORE, OK 73160-5135
(405) 831-7791
(405) 759-2944
Mailing address
201 N BROADWAY ST, SUITE 109, MOORE, OK 73160-5135
(405) 831-7791
(405) 759-2944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2961
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACSW 882101394
NATIONAL ASSOC OF SOCIAL WORKERS/ACADEMY OF CERTIFIED SOCIAL WORKERS
—
01
—
ITIN 27-3309899
FEDERAL TAX ID
—
Enumeration date
08/06/2010
Last updated
05/20/2011
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