Change, INC

NPI #1659805737 in Middletown, Connecticut

Provider Information

NPI Number: 1659805737
Entity Type: Organization
Organization Name: Change, INC
Primary Specialty: Social Worker
Enumeration Date: Apr 17, 2017
Last Updated: Apr 17, 2017

Practice Location

Address: 1251 S MAIN ST
City: Middletown
State: Connecticut
ZIP Code: 06457-5050
Phone: (860) 346-0771

Authorized Official

Name: MS. SHELLY LICKWAR, LCSW
Title: CLINICAL DIRECTOR
Phone: (860) 346-0771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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