| Deep Roots Wellness Llc | |
|
352 Lafayette St Salem MA 01970 | |
| (978) 219-4722 | |
| Not Available |
| Full Name | Deep Roots Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 352 Lafayette St, Salem, Massachusetts |
| Authorized Official Name and Position | Alice Harty (MANAGER) |
| Authorized Official Contact | 9782194722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Roots Wellness Llc 203 Washington St # 163 Salem MA 01970-3607 Ph: (978) 219-4722 | Deep Roots Wellness Llc 352 Lafayette St Salem MA 01970 Ph: (978) 219-4722 |
| NPI Number | 1811507874 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811507874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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