Individual
MS. BRENDA JOYCE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5161 CABANNE AVE, SAINT LOUIS, MO 63113-1610
(314) 479-4505
Mailing address
5161 CABANNE AVE, SAINT LOUIS, MO 63113-1610
(314) 479-4505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002032335
MO
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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