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1598342842
EVERGREEN THERAPY LLC
LANSING, MI
NPI
1598342842
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Entity Type
Organization
Authorized Contact
MARYBETH HOUPT
Credentialing
517-676-9788
Organization Subpart ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
EVERGREEN THERAPY LLC
709 N FOSTER AVE
LANSING, MI 48912-4305
Phone number: 517-803-0078
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Mailing Address
EVERGREEN THERAPY LLC
PO BOX 10
MASON, MI 48854-0010
Phone number:
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