| Evergreen Family Focus, Llc | |
|
2475 University Ave Suite A Green Bay WI 54302-5099 | |
| (920) 469-1201 | |
| (920) 469-3404 |
| Full Name | Evergreen Family Focus, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2475 University Ave, Green Bay, Wisconsin |
| Authorized Official Name and Position | Nana N Cisler (PRESIDENT) |
| Authorized Official Contact | 9204691201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Family Focus, Llc 2475 University Ave Suite A Green Bay WI 54302-5099 Ph: (920) 469-1201 | Evergreen Family Focus, Llc 2475 University Ave Suite A Green Bay WI 54302-5099 Ph: (920) 469-1201 |
| NPI Number | 1558508564 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 01/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558508564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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