Organization
ROOTED PINES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DEWITT (OWNER)
(385) 722-4586
Entity
Organization
Contact information
Practice address
5131 S 1500 W, RIVERDALE, UT 84405-3926
(385) 722-4586
Mailing address
5131 S 1500 W, RIVERDALE, UT 84405-3926
(385) 722-4586
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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