Individual
ANGIE R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
BO. SALTOS KM. 4.7, HC02 BOX 21519, SAN SEBASTIAN, PR 00685
(787) 316-1450
Mailing address
CARR. 445, KM. 4.7 BO. SALTOS, HC02 B0X 21519, SAN SEBASTIAN, PR 00676
(787) 316-1450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15461
PR
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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