Individual
GENEVRA B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
828 LANE ALLEN RD STE 219, LEXINGTON, KY 40504-3659
(260) 483-9081
Mailing address
152 COUILLARD RD, PALERMO, ME 04354-7666
(207) 993-2741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258271
KY
1041C0700X
Clinical Social Worker
LC6737
ME
Other
Enumeration date
12/04/2006
Last updated
08/08/2023
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