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Organization
SPARK THE CHANGE, LLC
Active
Organization
SPARK THE CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH RIDPATH LICSW (OWNER)
(508) 591-0995
Entity
Organization
Contact information
Practice address
124 WASHINGTON ST, NORWELL, MA 02061-1731
(508) 591-0995
Mailing address
PO BOX 2064, COTUIT, MA 02635-2064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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