License Detail

NameEVANS IRENE WINNIFRED
AddressCAZENOVIANY
ProfessionLICENSED CLINICAL SOCIAL WORK
License No007241
Date of Licensure09/01/04  (OriginallylicensedasaCertifiedSocialWorkeron09/17/68)
Additional QualificationR -Psychotherapy Privilege
StatusNOT REGISTERED
Registered through last day of

Comments