Individual
MS. DEBORAH K. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCW, BCD
Contact information
Practice address
14900 BOGLE DR, STE 200, CHANTILLY, VA 20151-1756
(703) 472-6056
(703) 817-9860
Mailing address
10540 POAGUES BATTERY DR, BRISTOW, VA 20136-1337
(703) 472-6056
(703) 817-9860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003512
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908966
—
VA
Enumeration date
11/28/2006
Last updated
07/17/2013
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