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Organization
SEA CHANGE COUNSELING LLC
Active
Organization
SEA CHANGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA PETERSON (CLINICAL SOCIAL WORKER)
(386) 481-4782
Entity
Organization
Contact information
Practice address
110 SANCHEZ AVE, EDGEWATER, FL 32132-1638
(386) 481-4782
Mailing address
110 SANCHEZ AVE, EDGEWATER, FL 32132-1638
(386) 481-4782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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