Individual
MS. BRONWYN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
127 W STATE ST, ITHACA, NY 14850-5474
(607) 273-7494
Mailing address
127 W STATE ST, ITHACA, NY 14850-5474
(607) 273-7494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
066832-1
NY
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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