Individual
LAUREN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30739 THOROGOODS RD, DAGSBORO, DE 19939-4502
(302) 573-1247
Mailing address
30739 THOROGOODS RD, DAGSBORO, DE 19939-4502
(302) 573-1247
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250501410
—
DE
Enumeration date
11/23/2020
Last updated
11/23/2020
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