Organization
WINGS OF CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIUSZ PIOKR JOSKOW II LCSW (OWNER)
(207) 313-9798
Entity
Organization
Contact information
Practice address
927 SHERRY DR, RIVERTON, WY 82501
(207) 313-9798
Mailing address
WINGS OF CHANGE LLC 927 SHERRY DR, RIVERTON, WY 82501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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