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1932814662
EVERGREEN THERAPY LLC
LINCOLN, NE
NPI
1932814662
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Entity Type
Organization
Authorized Contact
JONAE N CUNNINGHAM
Direct Owner
402-401-7560
Organization Subpart ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
EVERGREEN THERAPY LLC
6601 S 70TH ST
LINCOLN, NE 68516-3602
Phone number: 402-401-7560
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Mailing Address
EVERGREEN THERAPY LLC
6601 S 70TH ST
LINCOLN, NE 68516-3602
Phone number: 402-401-7560
Copy
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