Evans, Jennifer Stacey

Evans, Jennifer Stacey is an individual health care provider with primary practice located at 1201 First Street South , Winter Haven FL 33880. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Evans, Jennifer Stacey can be contacted via phone (863) 294-7062.

Contact Information

Primary practice address
1201 First Street South Winter Haven FL 33880
Phone: (863) 294-7062
Fax: (863) 291-6084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW7984 Florida

Profile Details

NPI number 1417960196
LBN Legal business name Evans, Jennifer Stacey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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