Individual
JENNIFER EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 OWENSVILLE RD, WEST RIVER, MD 20778
(410) 867-4700
Mailing address
134 OWENSVILLE RD, WEST RIVER, MD 20778-9998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18780
MD
Other
Enumeration date
03/03/2016
Last updated
06/12/2018
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