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Organization
POWER THROUGH CHANGE LLC
Active
Organization
POWER THROUGH CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE MCCULLOUGH LMSW-C (PRESIDENT)
(248) 416-3323
Entity
Organization
Contact information
Practice address
3800 HERITAGE AVE STE A2, OKEMOS, MI 48864-2871
(517) 292-3824
Mailing address
1436 SAFIRE CT, EAST LANSING, MI 48823-6357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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