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1023597267
KATELYN ROOT
PORTAGE, MI
NPI
1023597267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801101103)
Enumeration Date
2018-08-08
Last Update Date
2020-11-30
Business Address
KATELYN ROOT
640 ROMENCE RD STE 211A
PORTAGE, MI 49024-3400
Phone number: 269-588-0669
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Mailing Address
KATELYN ROOT
640 ROMENCE RD STE 211A
PORTAGE, MI 49024-3400
Phone number: 269-588-1441
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