| Wings Of Change Llc | |
|
927 Sherry Dr Riverton WY 82501 | |
| (207) 313-9798 | |
| Not Available |
| Full Name | Wings Of Change Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 927 Sherry Dr, Riverton, Wyoming |
| Authorized Official Name and Position | Sergiusz Piokr Joskow (OWNER) |
| Authorized Official Contact | 2073139798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Of Change Llc Wings Of Change Llc 927 Sherry Dr Riverton WY 82501 Ph: () - | Wings Of Change Llc 927 Sherry Dr Riverton WY 82501 Ph: (207) 313-9798 |
| NPI Number | 1285311753 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285311753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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