Organization
DEEP ROOTS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE HARTY LICSW (MANAGER)
(978) 219-4722
Entity
Organization
Contact information
Practice address
352 LAFAYETTE ST, SALEM, MA 01970
(978) 219-4722
Mailing address
203 WASHINGTON ST # 163, SALEM, MA 01970-3607
(978) 219-4722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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