# WINGS OF CHANGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285311753
- **Authorized official:** MR. SERGIUSZ PIOKR JOSKOW II LCSW (OWNER)
- **Authorized official phone:** (207) 313-9798

## Contact information

- **Practice address:** 927 SHERRY DR, RIVERTON, WY 82501
- **Practice address phone:** (207) 313-9798
- **Mailing address:** WINGS OF CHANGE LLC 927 SHERRY DR, RIVERTON, WY 82501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2023
- **Last updated:** 06/28/2023