Resilient Roots Therapy

NPI #1891505939 in Windham, Maine

Provider Information

NPI Number: 1891505939
Entity Type: Organization
Organization Name: Resilient Roots Therapy
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 10, 2025
Last Updated: Jan 10, 2025

Practice Location

Address: 744 ROOSEVELT TRL STE 207
City: Windham
State: Maine
ZIP Code: 04062-5281
Phone: (207) 550-1043

Authorized Official

Name: SAN PAO, LCSW
Title: OWNER/LCSW
Phone: (207) 550-1043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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