Wild Roots Therapeutics
Wild Roots Therapeutics is a Clinical Social Worker in Salida, Colorado. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
134 F St Ste 201Salida, CO 81201-2160
Phone: (720) 443-4933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1922853779 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mamie Tisue — Owner, Clinician · (719) 752-5672 |
| NPI enumerated | April 23, 2024 |
| Last updated in NPPES | August 6, 2026 |
| Certification date | August 6, 2026 |
| Mailing address | 134 F St Ste 201, Salida, CO 81201-2160 |
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Mamie Tisue, LCSW
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