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Organization

ELIZABETH ROOT MA, LMFT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN PARKER (OFFICE MANAGER)
(865) 384-0318
Entity
Organization

Contact information

Practice address
8170 OLD CARRIAGE CT STE 200, SHAKOPEE, MN 55379-3169
(612) 385-6137
Mailing address
8170 OLD CARRIAGE CT STE 200, SHAKOPEE, MN 55379-3169
(612) 385-6137

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/23/2024
Last updated
12/10/2024
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