Provider Information for 1558094466
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CHRISTINE IRENE EVERS LICSW
Sex: Female
NPI: 1558094466
Last Updated: 2022-07-07
Certification Date: 2022-07-07
Certification Date: 2022-07-07
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1558094466 | ||||||||||||||
| Enumeration Date | 2022-07-07 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 713 RIVER RD CUSICK, WA 99119-6002 United States Phone: 509-863-3778 | Fax: | ||||||||||||||
| Primary Practice Address | 713 RIVER RD CUSICK, WA 99119-6002 United States Phone: 509-863-3778 | Fax: | ||||||||||||||
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