| Carrie B Evans Ltd | |
|
20 Lakeview Drive 204 Nederland CO 80466 | |
| (720) 260-2901 | |
| (866) 757-5778 |
| Full Name | Carrie B Evans Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20 Lakeview Drive, Nederland, Colorado |
| Authorized Official Name and Position | Carolyn Bond Evans (REGISTERED AGENT) |
| Authorized Official Contact | 7202602901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie B Evans Ltd Po Box 3346 Nederland CO 80466-3301 Ph: (720) 260-2901 | Carrie B Evans Ltd 20 Lakeview Drive 204 Nederland CO 80466 Ph: (720) 260-2901 |
| NPI Number | 1871079764 |
|---|---|
| Provider Enumeration Date | 07/14/2018 |
| Last Update Date | 07/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871079764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.00001180 (Colorado) | Primary |
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