Individual
CHRISTINA ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1700 BALDWIN AVE, PONTIAC, MI 48340-1116
(248) 256-5509
Mailing address
4419 PEPPERMILL LN, LAKE ORION, MI 48359-2071
(989) 429-7004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801117196
MI
Other
Enumeration date
11/29/2021
Last updated
11/09/2023
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