| Spark The Change, Llc | |
|
124 Washington St Norwell MA 02061-1731 | |
| (508) 591-0995 | |
| Not Available |
| Full Name | Spark The Change, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 124 Washington St, Norwell, Massachusetts |
| Authorized Official Name and Position | Leah Ridpath (OWNER) |
| Authorized Official Contact | 5085910995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark The Change, Llc Po Box 2064 Cotuit MA 02635-2064 Ph: () - | Spark The Change, Llc 124 Washington St Norwell MA 02061-1731 Ph: (508) 591-0995 |
| NPI Number | 1417672965 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417672965 | NPI | - | NPPES |
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