Michelle R Evans, LCSW

NPI #1841513801 in Montgomery, Illinois

Provider Information

NPI Number: 1841513801
Entity Type: Individual
Name: Michelle R Evans, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 4, 2010
Last Updated: Mar 4, 2010

Practice Location

Address: 155 BOULDER HILL PASS
City: Montgomery
State: Illinois
ZIP Code: 60538-2305
Phone: (630) 844-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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