Individual
MS. WENDY JO EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.S.W.
Contact information
Practice address
17 STACKPOLE DR, STE 3, MACHIAS, ME 04654-7000
(207) 255-4600
(207) 255-4602
Mailing address
PO BOX 134, MACHIAS, ME 04654-0134
(207) 255-4600
(207) 255-4602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#LC3498
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328970099
—
ME
Enumeration date
12/28/2006
Last updated
03/14/2020
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