| Nurturing Roots, Llc | |
|
5885 149th St W Ste 101l Apple Valley MN 55124-5703 | |
| (651) 650-4929 | |
| Not Available |
| Full Name | Nurturing Roots, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5885 149th St W Ste 101l, Apple Valley, Minnesota |
| Authorized Official Name and Position | Kristine Marie Lynam (OWNER) |
| Authorized Official Contact | 6506514929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurturing Roots, Llc 5885 149th St W Ste 101l Apple Valley MN 55124-5703 Ph: (651) 650-4929 | Nurturing Roots, Llc 5885 149th St W Ste 101l Apple Valley MN 55124-5703 Ph: (651) 650-4929 |
| NPI Number | 1003683061 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003683061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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