Bright Side Of Change Inc | |
29 W Calle Tierra Sandia Sahuarita AZ 85629-9034 | |
(520) 727-1661 | |
Not Available |
Full Name | Bright Side Of Change Inc |
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Speciality | Social Worker - Clinical |
Location | 29 W Calle Tierra Sandia, Sahuarita, Arizona |
Authorized Official Name and Position | Nicole Peterson (BILLER) |
Authorized Official Contact | 5204414754 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bright Side Of Change Inc 4422 W Calle Jocobo Tucson AZ 85741-1830 Ph: (520) 373-7111 | Bright Side Of Change Inc 29 W Calle Tierra Sandia Sahuarita AZ 85629-9034 Ph: (520) 727-1661 |
NPI Number | 1023533940 |
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Provider Enumeration Date | 08/11/2017 |
Last Update Date | 08/11/2017 |
Identifier | Type | State | Issuer |
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1023533940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW16503 (Arizona) | Primary |
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