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1174351704
ROOTING WILD MOVEMENT LLC
PHILADELPHIA, PA
NPI
1174351704
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Entity Type
Organization
Authorized Contact
GRACE B HARMAN
Owner/Therapist
985-257-6774
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
ROOTING WILD MOVEMENT LLC
4130 RIDGE AVE STE 5600
PHILADELPHIA, PA 19129-1534
Phone number: 985-257-6774
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Mailing Address
ROOTING WILD MOVEMENT LLC
PO BOX 5600
PHILADELPHIA, PA 19129-0600
Phone number:
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