| Integrated Roots Therapy Llc | |
|
2002 Atwood Ave Ste 217 Madison WI 53704-5382 | |
| (608) 352-6211 | |
| Not Available |
| Full Name | Integrated Roots Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2002 Atwood Ave Ste 217, Madison, Wisconsin |
| Authorized Official Name and Position | Jennifer Lee Smith (OWNER) |
| Authorized Official Contact | 2626851918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Roots Therapy Llc 4810 Ilene Ln Madison WI 53704-1425 Ph: (262) 685-1918 | Integrated Roots Therapy Llc 2002 Atwood Ave Ste 217 Madison WI 53704-5382 Ph: (608) 352-6211 |
| NPI Number | 1568202380 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568202380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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