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General NPI Number Information
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NPI Number | 1396811733
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Entity Type | Organization
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Legal Business Name | CHANGES AND CHOICES INC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2350 SOUTH AVENUE SUITE 102
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City | LACROSSE
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State | WI
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Zip | 54601-6272
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Country | US
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Telephone | 608-787-6645
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Fax | 608-787-6658
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Provider Business Mailing Address
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Address Line | 2350 SOUTH AVENUE SUITE 102
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City | LACROSSE
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State | WI
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Zip | 54601-6272
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Country | US
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Telephone | 608-787-6645
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Fax | 608-787-6658
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CYNTHIA LEE PATTERSON-RHOCER
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Credential | LMFT LCSW
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Telephone | 608-787-6645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1161
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License Number State | WI
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