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1073338067
EVERGREEN CLINICAL SERVICES LLC
NEW YORK, NY
NPI
1073338067
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Entity Type
Organization
Authorized Contact
BORIS INGBERG
Owner
917-868-6745
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-11-15
Last Update Date
2024-12-02
Business Address
EVERGREEN CLINICAL SERVICES LLC
444 MANHATTAN AVE APT 6K
NEW YORK, NY 10026-1068
Phone number: 917-868-6745
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Mailing Address
EVERGREEN CLINICAL SERVICES LLC
444 MANHATTAN AVE APT 6K
NEW YORK, NY 10026-1068
Phone number: 917-868-6745
Copy
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