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Organization
KERI GNANASHANMUGAM LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization
KERI GNANASHANMUGAM LICENSED CLINICAL SOCIAL WORKER INC.
Active
Other names
Root Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
KERI GNANASHANMUGAM LCSW (PRACTICE OWNER)
(832) 540-1630
Entity
Organization
Contact information
Practice address
427 MENDOCINO AVE STE 100, SANTA ROSA, CA 95401-5392
(224) 386-6832
Mailing address
1275 4TH ST # 5002, SANTA ROSA, CA 95404-4057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
02/21/2025
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