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Organization

DEEP ROOTS FAMILY THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA CONNOR WAGENHAUSER LISW (OWNER)
(419) 324-5518
Entity
Organization

Contact information

Practice address
2600 N REYNOLDS RD STE 101A, TOLEDO, OH 43615-2067
(419) 324-5518
Mailing address
2600 N REYNOLDS RD STE 101A, TOLEDO, OH 43615-2067

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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