Individual
MRS. BRIGET ANTOINETTE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W
Contact information
Practice address
6 CHERYL LN, HYDE PARK, MA 02136-1219
(617) 771-0275
Mailing address
6 CHERYL LN, HYDE PARK, MA 02136-1219
(617) 771-0275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113136
MA
1041S0200X
School Social Worker
113136
MA
Other
Enumeration date
07/26/2014
Last updated
08/07/2015
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