| NPI | 1770606972 |
|---|---|
| Other Name | MARK EVANS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 19475) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R0413121) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |