Individual
SARAH JANE EVERGREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1295 BANDANA BLVD N STE 210, SAINT PAUL, MN 55108-5115
(888) 272-0784
Mailing address
5101 COLOGNE AVE, SAINT LOUIS, MO 63116-1316
(314) 437-3402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019020234
MO
Other
Enumeration date
05/26/2020
Last updated
10/18/2024
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