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Organization
NURTURING ROOTS, LLC
Active
Organization
NURTURING ROOTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MARIE LYNAM LICSW (OWNER)
(650) 651-4929
Entity
Organization
Contact information
Practice address
5885 149TH ST W STE 101L, APPLE VALLEY, MN 55124-5703
(651) 650-4929
Mailing address
5885 149TH ST W STE 101L, APPLE VALLEY, MN 55124-5703
(651) 650-4929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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