Untangled Roots LLC
NPI #1659009801 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1659009801
- Entity Type
- Organization
- Organization Name
- Untangled Roots LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 43 HANSON DR
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-1105
- Phone
- (779) 379-9575
Authorized Official
- Name
- MEGAN PFEIFER, LCSW
- Title
- OWNER
- Phone
- (701) 936-5598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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