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Organization
ROOTS BRANCHES THERAPY LCSW PLLC
Active
Organization
ROOTS BRANCHES THERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GONZALEZ LCSW (LCSW)
(646) 490-1930
Entity
Organization
Contact information
Practice address
34 PLAZA ST E STE P109, BROOKLYN, NY 11238-5047
(646) 490-1930
Mailing address
34 PLAZA ST E, P109, BROOKLYN, NY 11238-5047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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