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Organization

DEEP ROOTS HEALING, PLLC

Active
Other names
Deep Roots Healing, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
GAUDENCIA PALOMO-BURNS LCSW (CLINICAL SOCIAL WORKER)
(701) 787-1332
Entity
Organization

Contact information

Practice address
311 S 4TH ST STE 116, GRAND FORKS, ND 58201-4792
(701) 620-9876
Mailing address
311 S 4TH ST STE 116, GRAND FORKS, ND 58201-4792
(701) 620-9876

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/25/2025
Last updated
04/11/2025
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