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Manuel Evangelista, LCSW
NPI 1467787515 · on the registry since 2009 · sole proprietor
Practice
- Address
- 860 East 4500 South #302
Salt Lake, UT 84107 - Phone
- (801) 268-0333
- Fax
- (801) 268-3777
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah