Individual
AISHA KATRELL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER, DE 19902-5003
(302) 677-2674
Mailing address
86 MDG, UNIT 3215, RAMSTEIN AB, APO, AE 09094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012598
NC
Other
Enumeration date
02/19/2020
Last updated
08/02/2022
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