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1609177955
ROY M. EVANS
ALTON, IL
NPI
1609177955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.002524)
Enumeration Date
2010-11-03
Last Update Date
2012-04-18
Business Address
Mr. ROY M. EVANS L.C.S.W.
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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Mailing Address
Mr. ROY M. EVANS L.C.S.W.
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
Copy
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