Individual
ALLISON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7227
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110969
IA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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