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1982611968
EVAN LYLE MAW
PORTERVILLE, CA
NPI
1982611968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS6551)
Enumeration Date
2006-08-02
Last Update Date
2015-05-26
Business Address
-- EVAN LYLE MAW L.C.S.W.
409 N MAIN ST
PORTERVILLE, CA 93257-2336
Phone number: 559-784-0312
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Mailing Address
-- EVAN LYLE MAW L.C.S.W.
409 N MAIN ST
PORTERVILLE, CA 93257-2336
Phone number: 559-784-0312
Copy
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