Individual
ANTHONY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
157 N MAIN ST, MONTICELLO, KY 42633-1437
(606) 343-0216
Mailing address
157 N MAIN ST, MONTICELLO, KY 42633-1437
(606) 343-0216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100317630
—
KY
Enumeration date
11/27/2017
Last updated
03/17/2018
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