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Organization
SISU ROOTS PLLC
Active
Organization
SISU ROOTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLYN BASS LCSW (LICENSED CLINICAL SOCIAL WORKER)
(512) 765-5586
Entity
Organization
Contact information
Practice address
110 16TH ST STE 1460, DENVER, CO 80202-5326
(512) 765-5586
Mailing address
110 16TH ST STE 1460, DENVER, CO 80202-5326
(512) 765-5586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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