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General NPI Number Information
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NPI Number | 1861385973
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Entity Type | Organization
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Legal Business Name | CHOICES FOR CHANGE LLC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 10939 HELMER DR # 2
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City | PHILADELPHIA
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State | PA
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Zip | 19154-4113
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Country | US
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Telephone | 484-532-8478
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Fax |
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Provider Business Mailing Address
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Address Line | 10871 BUSTLETON AVENUE PHILADELPHIA, PA, 191116 PMB #105
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City | PHILADELPHIA
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State | PA
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Zip | 19116
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Country | US
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Telephone | 484-532-8478
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MONICA SANTIAGO
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Credential | LCSW
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Telephone | 484-532-8478
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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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