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Individual

DR. ELIZABETH EVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LP

Contact information

Practice address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3923
(218) 846-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(218) 846-2000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5233
MN
103TC0700X
Clinical Psychologist
LP 5233
MN

Other

Enumeration date
03/08/2010
Last updated
08/18/2022
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