Individual
KRISTY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7705 SLEEPY LAGOON WAY, FLOWERY BRANCH, GA 30542-7559
(951) 893-0014
Mailing address
7705 SLEEPY LAGOON WAY, FLOWERY BRANCH, GA 30542-7559
(951) 893-0014
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
150110193
CA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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