| Evolu Therapy Llc | |
|
1125 West St Ste 321 Annapolis MD 21401-4198 | |
| (410) 320-5157 | |
| Not Available |
| Full Name | Evolu Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1125 West St Ste 321, Annapolis, Maryland |
| Authorized Official Name and Position | Jennifer Morris (OWNER) |
| Authorized Official Contact | 4103205157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolu Therapy Llc 1125 West St Ste 321 Annapolis MD 21401-4198 Ph: (410) 320-5157 | Evolu Therapy Llc 1125 West St Ste 321 Annapolis MD 21401-4198 Ph: (410) 320-5157 |
| NPI Number | 1831853571 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831853571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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