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1720165251
KELLY CHARLES EVANS
WAUSAU, WI
NPI
1720165251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: WI 2027)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. KELLY CHARLES EVANS Ph.D.
2714 STEWART AVE
WAUSAU, WI 54401-4153
Phone number: 715-849-3988
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Mailing Address
Dr. KELLY CHARLES EVANS Ph.D.
2714 STEWART AVE
WAUSAU, WI 54401-4153
Phone number: 715-849-3988
Copy
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