Individual
EVELYN HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 E FORT UNION BLVD STE 104, MIDVALE, UT 84047-5531
(801) 984-1717
(801) 984-1720
Mailing address
40 SHIPP RD, HUSUM, WA 98623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13407306-3501
UT
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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