| Rooting Resilience, Llc | |
|
554 Liberty Hwy Ste 3 Putnam CT 06260-2728 | |
| (860) 634-0940 | |
| Not Available |
| Full Name | Rooting Resilience, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 554 Liberty Hwy Ste 3, Putnam, Connecticut |
| Authorized Official Name and Position | Deanna Boucher (MANAGER) |
| Authorized Official Contact | 8606340940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooting Resilience, Llc Po Box 382 Putnam CT 06260-0382 Ph: () - | Rooting Resilience, Llc 554 Liberty Hwy Ste 3 Putnam CT 06260-2728 Ph: (860) 634-0940 |
| NPI Number | 1912783887 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912783887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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