Individual
EVALYNNE GOULD ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
4713 SUNNY PT, LEXINGTON, KY 40515-1584
(859) 273-7185
(859) 273-7185
Mailing address
PO BOX 24468, LEXINGTON, KY 40524-4468
(859) 273-7185
(859) 273-7185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
678
KY
Other
Enumeration date
06/07/2006
Last updated
04/28/2008
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