Individual
MR. DOYLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LISW
Contact information
Practice address
2104 24TH ST, ROCK ISLAND, IL 61201-4535
(309) 558-5529
Mailing address
2104 24TH ST, ROCK ISLAND, IL 61201-4535
(309) 558-5529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
008398
IA
1041C0700X
Clinical Social Worker
Primary
149.020777
IL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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