Individual
A'SA MARIAH FERNANDEZ EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9407 MIDWAY RD, DALLAS, TX 75220-3850
(214) 353-8804
Mailing address
1317 MONTERREY BLVD APT 134A, EULESS, TX 76040-8181
(682) 386-6575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114148
TX
Other
Enumeration date
01/03/2022
Last updated
11/06/2024
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