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Individual

ADA R EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1137 INDEPENDENCE DR, WEST PLAINS, MO 65775-4221
(417) 255-8464
(417) 255-9732
Mailing address
11689 COUNTY ROAD 7070, WEST PLAINS, MO 65775-6383
(417) 257-8441
(417) 284-9962

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2000164421
MO

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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