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Organization
WILDLY ROOTED THERAPY SERVICES
Active
Organization
WILDLY ROOTED THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY J ZEMANEK LMFT (OWNER, CLINICAL LEAD)
(505) 235-2827
Entity
Organization
Contact information
Practice address
37272 20TH AVE, DENNISON, MN 55018-7425
(505) 235-2827
Mailing address
37272 20TH AVE, DENNISON, MN 55018-7425
(505) 235-2827
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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