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Individual

MR. DAVID J EVANGELISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1400 N SEMINARY AVE, SUITE #L, WOODSTOCK, IL 60098-2980
(815) 529-4489
(815) 308-5165
Mailing address
2506 CHURCH ST, JOHNSBURG, IL 60050-1916
(815) 578-0074
(815) 578-0074

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-008014
IL

Other

Enumeration date
08/17/2006
Last updated
06/18/2010
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