Individual
MS. SUZANNE B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
210 2ND ST, SUITE 6, SAINT MARYS, WV 26170-1097
(304) 684-2656
(304) 684-2658
Mailing address
210 2ND ST, SUITE 6, SAINT MARYS, WV 26170-1097
(304) 684-2656
(304) 684-2658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AP00942197
WV
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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