Individual
ELISA E. EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
835 E 4800 S STE 220, MURRAY, UT 84107-5533
(801) 725-4032
Mailing address
13368 S TUSCALEE WAY, DRAPER, UT 84020-8891
(801) 725-4032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11801234-3502
UT
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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