Individual
ASHLEY SPORER EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
402 UNIVERSITY AVE E, SAINT PAUL, MN 55130-4400
(651) 266-3550
Mailing address
507 WILLOW ST, FARMINGTON, MN 55024-1144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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