Individual
COLLEEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 CENTRAL ST, WALTHAM, MA 02453-5465
(718) 891-0555
Mailing address
118 CENTRAL ST, WALTHAM, MA 02453-5465
(781) 891-0555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
115416
MA
Other
Enumeration date
01/10/2007
Last updated
01/16/2014
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