Organization
INSTRUMENTAL CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN B FITZPATRICK (OWNER)
(609) 313-4341
Entity
Organization
Contact information
Practice address
210 E MAPLE AVE, D3, MERCHANTVILLE, NJ 08109-2615
(609) 313-4341
Mailing address
210 E MAPLE AVE, D3, MERCHANTVILLE, NJ 08109-2615
(609) 313-4341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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