Individual
EVELYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SW 216TH ST, MIAMI, FL 33190
(305) 253-5100
Mailing address
10300 SW 216TH ST, MIAMI, FL 33190
(305) 253-5100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762582100
—
FL
Enumeration date
03/30/2010
Last updated
03/30/2010
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