Individual
EVELYN RENEE PLEASANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3371
(928) 669-3388
Mailing address
313 W 11TH ST, PARKER, AZ 85344-5901
(928) 669-3375
(928) 669-3388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-05890
NM
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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