Organization
SOLID ROOTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CREAN DSW, LCSW (OWNER)
(000) 000-0000
Entity
Organization
Contact information
Practice address
103 CONTINENTAL PL, BRENTWOOD, TN 37027-1041
(000) 000-0000
(248) 856-9384
Mailing address
26149 VALHALLA DR, FARMINGTON HILLS, MI 48331-3782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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