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Organization
MR THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Active
Organization
MR THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE NICOLE ROOT LCSW (PRESIDENT)
(408) 320-5377
Entity
Organization
Contact information
Practice address
2108 N ST # 9254, SACRAMENTO, CA 95816-5712
(408) 320-5377
Mailing address
PO BOX 390852, MOUNTAIN VIEW, CA 94039-0852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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