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Organization
MINDROOTS COUNSELING PLLC
Active
Organization
MINDROOTS COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELLA ZACKERU LCSW (CLINICAL SOCIAL WORKER)
(908) 421-6680
Entity
Organization
Contact information
Practice address
190 S 1ST ST, BENNETT, CO 80102-7860
(303) 622-4547
Mailing address
4299 FLANDIN CT, STRASBURG, CO 80136-8126
(908) 421-6680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
08/18/2020
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