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Organization
THE CENTER FOR THERAPEUTIC CHANGE, LLC
Active
Organization
THE CENTER FOR THERAPEUTIC CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLEA DANIELS-MCCOY (CEO)
(667) 305-0447
Entity
Organization
Contact information
Practice address
1014 W 36TH ST, BALTIMORE, MD 21211-2415
(667) 305-0447
Mailing address
1014 W 36TH ST UNIT 58, BALTIMORE, MD 21211-2415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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