Evergreen Therapy Services-Llc

NPI #1720656135 in Great Bend, Kansas

Provider Information

NPI Number
1720656135
Entity Type
Organization
Organization Name
Evergreen Therapy Services-Llc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jun 12, 2021
Last Updated
Aug 3, 2021

Practice Location

Address
1819 11TH ST
State
Kansas
ZIP Code
67530-4511
Phone
(785) 483-9183

Authorized Official

Name
PAMELA M MIDDLETON, LSCSW
Title
CLINICAL SOCIAL WORKER
Phone
(785) 483-9183

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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