Deep Roots Healing, Pllc | |
311 S 4th St Ste 116 Grand Forks ND 58201-4792 | |
(701) 620-9876 | |
Not Available |
Full Name | Deep Roots Healing, Pllc |
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Speciality | Social Worker - Clinical |
Location | 311 S 4th St Ste 116, Grand Forks, North Dakota |
Authorized Official Name and Position | Gaudencia Palomo-burns (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7017871332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deep Roots Healing, Pllc 311 S 4th St Ste 116 Grand Forks ND 58201-4792 Ph: (701) 620-9876 | Deep Roots Healing, Pllc 311 S 4th St Ste 116 Grand Forks ND 58201-4792 Ph: (701) 620-9876 |
NPI Number | 1639971203 |
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Provider Enumeration Date | 03/25/2025 |
Last Update Date | 04/11/2025 |
Certification Date | 04/11/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639971203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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