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Organization

REFLECTIVE ROOTS PSYCHOTHERAPY & HEALING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE J LARSON MSW, LICSW, LCSW (PSYCHOTHERAPIST)
(715) 201-4563
Entity
Organization

Contact information

Practice address
1186 121ST ST, ROBERTS, WI 54023-8538
(715) 201-4563
Mailing address
808 CARMICHAEL RD, HUDSON, WI 54016-7759
(715) 201-4563

Taxonomy

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

Other

Enumeration date
05/18/2024
Last updated
04/16/2026
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