Individual
ANGEL CHARISSA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSE SOCIAL WORK
Contact information
Practice address
345 S HALCYON RD, ARROYO GRANDE, CA 93420-3817
(805) 489-4261
Mailing address
11505 PARKVIEW AVE, CLEVELAND, OH 44104-5053
(216) 834-3857
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S30473
OH
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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