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1467134403
EVERGREEN ASSESSMENT & CONSULTATION LLC
CHAMPAIGN, IL
NPI
1467134403
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Entity Type
Organization
Authorized Contact
JONATHAN WILLIAM THOMAS-STAGG
Owner
217-714-7042
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
EVERGREEN ASSESSMENT & CONSULTATION LLC
411 E PARK ST STE 106
CHAMPAIGN, IL 61820-3862
Phone number: 217-714-7042
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Mailing Address
EVERGREEN ASSESSMENT & CONSULTATION LLC
411 E PARK ST STE 106
CHAMPAIGN, IL 61820-3862
Phone number: 217-714-7042
Copy
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