Most Relevant Information
Provider Data
| NPI Number: | 1003239815 |
| Provider Name: | EVALINE WEST LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LCSW 4598 |
Most Important Dates
| Enumeration Date: | 01/30/2014 |
| Last Updated: | 10/06/2024 |
Provider Practice Location
320 BROOKSIDE DR
ANGWIN
CA
945089601
Practice Location Phone/Fax
| Phone: | 7079653483 |
| Fax: |
Provider Mailing Location
320 BROOKSIDE DR
ANGWIN
CA
945089601
Provider Mailing Phone/Fax
| Phone: | 7079653483 |
| Fax: |