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Organization
ROOTED RESTORATION
Active
Organization
ROOTED RESTORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE AMADO LPC (OWNER)
(786) 896-1780
Entity
Organization
Contact information
Practice address
5512 MASTER ST, PHILADELPHIA, PA 19131-4231
(267) 225-1121
Mailing address
5512 MASTER ST, PHILADELPHIA, PA 19131-4231
(267) 225-1121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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