Individual
MS. SHAUNNA TYNICE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
14900 BOGLE DR STE 200, CHANTILLY, VA 20151-1757
(571) 484-7639
Mailing address
21687 DOVEKIE TER, ASHBURN, VA 20147-3063
(703) 434-0229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200001704
DC
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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