Organization
STEPHANIE EVANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE EVANS MSW (SOLE MEMBER)
(813) 527-8976
Entity
Organization
Contact information
Practice address
6311 S ROBERTS AVE APT A, TAMPA, FL 33616-2668
(813) 527-8976
Mailing address
6311 S ROBERTS AVE APT A, TAMPA, FL 33616-2668
(813) 527-8976
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ISW11019
FL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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