Individual
NANCY MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCSP
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
Mailing address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2790596
AZ
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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