Individual
PATRICIA J EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
754 BAGNELL DAM BLVD STE F, LAKE OZARK, MO 65049-8703
(573) 873-6014
Mailing address
754 BAGNELL DAM BLVD STE F, LAKE OZARK, MO 65049-8703
(573) 873-6014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2003010307
MO
Other
Enumeration date
12/16/2005
Last updated
05/03/2023
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