Individual
ERIC ALAN EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
Mailing address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4943
MN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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