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Individual

MR. JIMMY EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW, MHA

Contact information

Practice address
94 HEMPHILL SCHOOL RD NW, ATLANTA, GA 30331-1620
(404) 408-1306
Mailing address
94 HEMPHILL SCHOOL RD NW, ATLANTA, GA 30331-1620
(404) 408-1306

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006055
GA

Other

Enumeration date
03/19/2014
Last updated
03/19/2014
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