Individual
MS. DONA CECELIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3111 1ST AVE S, MINNEAPOLIS, MN 55408-3136
(612) 767-6652
Mailing address
3041 CEDAR AVE. SOUTH, MINNEAPOLIS, MN 55407-4733
(612) 724-4212
(612) 825-6666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10084
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-31157
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
07/23/2007
Last updated
07/23/2007
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