Organization
EVERGREEN FAMILY FOCUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANA N CISLER MA (PRESIDENT)
(920) 469-1201
Entity
Organization
Contact information
Practice address
2475 UNIVERSITY AVE, SUITE A, GREEN BAY, WI 54302-5099
(920) 469-1201
(920) 469-3404
Mailing address
2475 UNIVERSITY AVE, SUITE A, GREEN BAY, WI 54302-5099
(920) 469-1201
(920) 469-3404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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