Individual
KEVIN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 BOSTON ST, SALEM, MA 01970-1402
(617) 792-5366
Mailing address
110 BOSTON ST, SALEM, MA 01970-1402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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