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General NPI Number Information
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NPI Number | 1659004216
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Entity Type | Organization
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Legal Business Name | CHOSEN TO CHANGE LLC
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 629 E WOOD ST STE 306
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City | VINELAND
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State | NJ
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Zip | 08360-3731
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Country | US
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Telephone | 856-265-6857
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Fax | 866-530-6081
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Provider Business Mailing Address
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Address Line | 629 E WOOD ST STE 306
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City | VINELAND
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State | NJ
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Zip | 08360-3731
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Country | US
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Telephone | 856-265-6857
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Fax | 866-530-6081
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Authorized Official
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Title or Position | CEO
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Name | SHEILA SHARMAINE PIERCE-WILLIAMS
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Credential | LCSW
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Telephone | 856-982-1314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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