Dr. D Amanda Evans, LCSW
Social Worker, Clinical in Fort Myers, FL. Individual provider (NPI-1).
NPI number1174988331
StatusActive
Last updated in NPPESDec 15, 2015
Details
- NPI
- 1174988331
- Entity type
- Individual (NPI-1)
- Name
- Dr. D Amanda Evans
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2015
- Last updated
- Dec 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | sw13344 | FL | Yes |
Practice location
12590 Whitehall Dr Ste 3Fort Myers, FL 33907-4680
Phone 239-939-9090
Mailing address
8942 Ellington StFort Myers, FL 33907-5913
Phone 239-691-0753
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