Evergreen Family Focus, LLC

NPI #1558508564 in Green Bay, Wisconsin

Provider Information

NPI Number: 1558508564
Entity Type: Organization
Organization Name: Evergreen Family Focus, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 13, 2009
Last Updated: Jan 13, 2009

Practice Location

Address: 2475 UNIVERSITY AVE
Address 2: SUITE A
City: Green Bay
State: Wisconsin
ZIP Code: 54302-5099
Phone: (920) 469-1201

Authorized Official

Name: NANA N CISLER, MA
Title: PRESIDENT
Phone: (920) 469-1201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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