| Resilient Roots Therapy | |
|
744 Roosevelt Trl Ste 207 Windham ME 04062-5281 | |
| (207) 550-1043 | |
| Not Available |
| Full Name | Resilient Roots Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 744 Roosevelt Trl Ste 207, Windham, Maine |
| Authorized Official Name and Position | San Pao (OWNER/LCSW) |
| Authorized Official Contact | 2075501043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Roots Therapy 744 Roosevelt Trl Ste 207 Windham ME 04062-5281 Ph: () - | Resilient Roots Therapy 744 Roosevelt Trl Ste 207 Windham ME 04062-5281 Ph: (207) 550-1043 |
| NPI Number | 1891505939 |
|---|---|
| Provider Enumeration Date | 01/10/2025 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891505939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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