Individual
TILGHMAN B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 741-5141
Mailing address
PO BOX 457, TAOS, NM 87571-0457
(575) 741-5141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M11053
NM
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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