| NPI | 1356696694 |
|---|---|
| Former Name | STEPHEN RAY EVANS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 10195-M) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-07-17 |