Individual
MR. GARY CARLTON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5713 N PERSHING AVE, STOCKTON, CA 95207-4942
(209) 953-3490
Mailing address
2118 PICCARDO CT, STOCKTON, CA 95207-7870
(209) 954-9771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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