Individual
CAMILLE ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 DEINHARD LN, MCCALL, ID 83638-4703
(208) 630-2450
(208) 634-4055
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-42550
ID
104100000X
Social Worker
LMSW-29792
ID
Other
Enumeration date
05/10/2019
Last updated
03/12/2024
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