Individual
TANEASHA ELIZABETH EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
438 HOBRON LN STE 405, HONOLULU, HI 96815-1229
(808) 941-9648
Mailing address
PO BOX 61541, HONOLULU, HI 96839-1541
(805) 304-4808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4120
HI
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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