Individual
KEEGAN MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 S STATE ST, DOVER, DE 19901-4948
(302) 257-3135
Mailing address
8264 GANNON CIR, EASTON, MD 21601-7122
(410) 200-7694
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
DE
1041C0700X
Clinical Social Worker
17722
MD
1041C0700X
Clinical Social Worker
Primary
Q1-0001547
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550002
—
MD
Enumeration date
09/08/2010
Last updated
07/01/2025
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