Individual
TERA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600046
—
Other
Enumeration date
08/02/2017
Last updated
03/14/2018
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