Individual
MRS. JEAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 E MADISON AVE, MAGNOLIA, NJ 08049-1409
(856) 541-1700
Mailing address
437 ROOSEVELT AVE, GLENDORA, NJ 08029-1033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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