Wild Roots Somatic Therapy
NPI #1922853779 in Salida, Colorado
Provider Information
- NPI Number
- 1922853779
- Entity Type
- Organization
- Organization Name
- Wild Roots Somatic Therapy
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 23, 2024
- Last Updated
- Dec 11, 2024
Practice Location
Authorized Official
- Name
- MAMIE TISUE, LCSW
- Title
- OWNER, CLINICIAN
- Phone
- (720) 443-4933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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