Individual
CAROLYN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 WALNUT ST, WYOMING, OH 45215-2833
(513) 720-0421
Mailing address
704 WALNUT ST, WYOMING, OH 45215-2833
(513) 720-0421
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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