Organization
CREATING CHANGE, LLC
Active
Organization
CREATING CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA M CORREA LCSW (CEO)
(862) 803-9262
Entity
Organization
Contact information
Practice address
181 HOWARD BLVD STE J, MOUNT ARLINGTON, NJ 07856-2314
(862) 803-9262
Mailing address
24 MAPLE LN, MOUNT ARLINGTON, NJ 07856-1388
(973) 703-4642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC055649300
NJ
Other
Enumeration date
12/11/2017
Last updated
08/13/2024
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