Individual
BETH A. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 CLAYTON AVE, SAINT LOUIS, MO 63110-1502
(314) 977-0145
Mailing address
5435 RHODES AVE, SAINT LOUIS, MO 63109-3561
(314) 351-4886
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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