Individual
ROBERT BRYAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
2512 S 12TH ST APT G, SAINT LOUIS, MO 63104-4339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017015766
MO
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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