Individual
MR. RICHARD PATRICK EVANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
3505 GRANT AVE, OGDEN, UT 84401-4131
(801) 621-1901
Mailing address
3505 GRANT AVE, OGDEN, UT 84401-4131
(801) 621-1901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10509933-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
05/13/2015
Last updated
07/08/2020
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