Organization
EVERGREEN HEALTH CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SNOOK (OFFICE MANAGER)
(417) 588-7923
Entity
Organization
Contact information
Practice address
1859 S JEFFERSON AVE, LEBANON, MO 65536-4221
(417) 588-7923
(417) 588-7924
Mailing address
1859 S JEFFERSON AVE, LEBANON, MO 65536-4221
(417) 588-7923
(417) 588-7924
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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