Jeremy Evenden, L.I.S.W.

NPI #1144348996 in Lorain, Ohio

Provider Information

NPI Number: 1144348996
Entity Type: Individual
Name: Jeremy Evenden, L.I.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: L.I.S.W.
Enumeration Date: Mar 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6140 S BROADWAY
City: Lorain
State: Ohio
ZIP Code: 44053-3821
Phone: (440) 204-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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