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1134907546
EVERGREEN WELLNESS COUNSELING LLC
CORVALLIS, OR
NPI
1134907546
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Entity Type
Organization
Authorized Contact
ANGELA MIERAU
Lcsw
541-754-2225
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-09-18
Last Update Date
2023-11-04
Business Address
EVERGREEN WELLNESS COUNSELING LLC
999 NW CIRCLE BLVD
CORVALLIS, OR 97330-1408
Phone number: 541-754-2225
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Mailing Address
EVERGREEN WELLNESS COUNSELING LLC
999 NW CIRCLE BLVD
CORVALLIS, OR 97330-1408
Phone number:
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