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Organization
ROOTS MUSIC THERAPY SERVICES LLC
Active
Organization
ROOTS MUSIC THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA GRACE HALLGREN MT-BC (FOUNDER)
(651) 500-5422
Entity
Organization
Contact information
Practice address
3748 MCCRACKEN LN, ARDEN HILLS, MN 55112-3229
(651) 500-5422
Mailing address
3748 MCCRACKEN LN # A, ARDEN HILLS, MN 55112-3229
(651) 500-5422
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
NULL
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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