Evanson, Mandi E

Evanson, Mandi E is an individual health care provider with primary practice located at 4700 W 95Th St Suite 104, Oak Lawn IL 60453-2533. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Evanson, Mandi E can be contacted via phone (708) 202-9922.

Contact Information

Primary practice address
4700 W 95Th St Suite 104 Oak Lawn IL 60453-2533
Phone: (708) 202-9922
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.010889 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149013320 Illinois

Profile Details

NPI number 1811040652
LBN Legal business name Evanson, Mandi E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Dec 8th, 2008 - about 18 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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