Individual
CHARLOTTE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4000 HOLLYWOOD BLVD, SUITE 555, HOLLYWOOD, FL 33021-6751
(954) 297-5077
Mailing address
4000 HOLLYWOOD BLVD, SUITE 555, HOLLYWOOD, FL 33021-6751
(954) 297-5077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7704
FL
Other
Enumeration date
08/02/2013
Last updated
06/30/2014
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