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Organization
CHANGING PATHS, LLC
Active
Organization
CHANGING PATHS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA SMITH (LICENSED CLINICAL SOCIAL WORKER)
(209) 242-6729
Entity
Organization
Contact information
Practice address
9229 VERVAIN WAY, SACRAMENTO, CA 95829-8733
(209) 242-6729
Mailing address
9229 VERVAIN WAY, SACRAMENTO, CA 95829-8733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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