Roots Seeds And Branches
Clinical Social Worker in Decatur, GA(View on Map)
Legal Business Name
Roots Seeds And Branches
NPI Number
1508353210
NPI Type
Organization
Enumeration Date
04/18/2018
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
CSW005018
Contact
Information
Purpose
Mailing
Location
Address
209A SWANTON WAY STE 202
209A SWANTON WAY STE 202
City
Decatur
Decatur
State
GA
GA
Postal Code
30030-3271
30030-3271
Country
US
US
Telephone Number
(404) 698-5553
(404) 698-5553
Authorized Official
Name
Mr. Julius Jessup Peterson
Title or Position
OWNER
Telephone Number
(404) 698-5553
Identifiers
Identifier
003181948C
Identifier State
GA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/18/2018
Provider Address
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