Deep Roots Counseling Group Llc | |
21 Blackstone St Bellingham MA 02019-1601 | |
(774) 571-9069 | |
Not Available |
Full Name | Deep Roots Counseling Group Llc |
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Speciality | Social Worker - Clinical |
Location | 21 Blackstone St, Bellingham, Massachusetts |
Authorized Official Name and Position | Kerrie Ann Cusack (OWNER/CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7745719069 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deep Roots Counseling Group Llc 21 Blackstone St Bellingham MA 02019-1601 Ph: (774) 571-9069 | Deep Roots Counseling Group Llc 21 Blackstone St Bellingham MA 02019-1601 Ph: (774) 571-9069 |
NPI Number | 1093377418 |
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Provider Enumeration Date | 07/05/2019 |
Last Update Date | 08/29/2019 |
Identifier | Type | State | Issuer |
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1093377418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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