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1912775065
ROOTED IN CHANGE, LLC
MISSOULA, MT
NPI
1912775065
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Entity Type
Organization
Authorized Contact
ANGELA PETERSEN
Psychologist
858-868-0364
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
ROOTED IN CHANGE, LLC
422 W SPRUCE ST STOP C
MISSOULA, MT 59802-4141
Phone number: 858-868-0364
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Mailing Address
ROOTED IN CHANGE, LLC
PO BOX 16592
MISSOULA, MT 59808-6592
Phone number: 858-868-0364
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