Individual
MR. EVAN MOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 MAIN ST, APT. #1, MALDEN, MA 02148-3751
(508) 414-9381
Mailing address
690 MAIN ST, APT. #1, MALDEN, MA 02148-3751
(508) 414-9381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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