Individual
ELIZABETH A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
540 JENNER DR, ALLEGAN, MI 49010-1517
(269) 615-6130
Mailing address
540 JENNER DR, ALLEGAN, MI 49010-1517
(269) 615-6130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851117068
MI
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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