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Organization
EVERGREEN MEADOW SERVICES INC
Active
Organization
EVERGREEN MEADOW SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE JENSEN (EXECUTIVE DIRECTOR)
(833) 346-4968
Entity
Organization
Contact information
Practice address
111 SULLIVAN AVE STE 2-5, FERNDALE, NY 12734-4317
(833) 346-4968
Mailing address
PO BOX 64, COCHECTON, NY 12726-0064
(833) 346-4968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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