Most Relevant Information
Provider Data
| NPI Number: | 1003182221 |
| Provider Name: | KRISTEN K EVANS MSS, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 44SC05273300 |
Most Important Dates
| Enumeration Date: | 04/02/2012 |
| Last Updated: | 04/02/2012 |
Provider Practice Location
5 EVES DRIVE
SUITE 300
MARLTON
NJ
080533101
Practice Location Phone/Fax
| Phone: | 8565961600 |
| Fax: | 8565522224 |
Provider Mailing Location
5 EVES DRIVE
SUITE 300
MARLTON
NJ
080533101
Provider Mailing Phone/Fax
| Phone: | 8565961600 |
| Fax: | 8565522224 |