Organization
INTEGRATED ROOTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEE SMITH LCSW (OWNER)
(262) 685-1918
Entity
Organization
Contact information
Practice address
2002 ATWOOD AVE STE 217, MADISON, WI 53704-5382
(608) 352-6211
Mailing address
4810 ILENE LN, MADISON, WI 53704-1425
(262) 685-1918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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