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Individual

MS. CAROL HENDERSON EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW;LICSW

Contact information

Practice address
68 LEONARD ST, SUITE 306, BELMONT, MA 02478-2522
(617) 484-4000
Mailing address
68 LEONARD ST, SUITE 306, BELMONT, MA 02478-2522
(617) 484-4000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1015395
MA
1041S0200X
School Social Worker
Primary
353136
MA

Other

Enumeration date
09/07/2007
Last updated
10/27/2007
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