Individual
ETHAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WRAPAROUND
Contact information
Practice address
2506 WILLOWBROOK PKWY STE 111, INDIANAPOLIS, IN 46205-1542
(317) 574-1254
(317) 674-0060
Mailing address
7580 CASTLETON FARMS WEST DR, INDIANAPOLIS, IN 46256-1942
(317) 750-5838
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
04/22/2024
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