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Organization

BRIGHT SIDE OF CHANGE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE PETERSON (BILLER)
(520) 441-4754
Entity
Organization

Contact information

Practice address
29 W CALLE TIERRA SANDIA, SAHUARITA, AZ 85629-9034
(520) 727-1661
Mailing address
4422 W CALLE JOCOBO, TUCSON, AZ 85741-1830
(520) 373-7111
(520) 328-8701

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW16503
AZ

Other

Enumeration date
08/11/2017
Last updated
08/11/2017
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