Organization
SEEDS FOR CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIL ROTH APSW (SOCIAL WORKER)
(608) 512-6779
Entity
Organization
Contact information
Practice address
6602 GRAND TETON PLZ, SUITE 50-A, MADISON, WI 53719-1091
(608) 512-6779
Mailing address
6602 GRAND TETON PLZ, SUITE 50-A, MADISON, WI 53719-1091
(608) 512-6779
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
129785121
WI
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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