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Organization
ROOTS COUNSELING
Active
Organization
ROOTS COUNSELING
Active
Other names
Valerie-Lynn A. Mutka
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE-LYNN A MUTKA LCSW-R (BUSINESS OWNER)
(585) 813-4075
Entity
Organization
Contact information
Practice address
24 E MAIN ST, CORFU, NY 14036-9601
(585) 813-4075
Mailing address
PO BOX 57, CORFU, NY 14036-0057
(585) 813-4075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962596718
—
NY
Enumeration date
04/13/2020
Last updated
04/13/2020
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