Organization
GROWTH & CHANGE COUNSELING LLC
Active
Organization
GROWTH & CHANGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE KELLY REPKA LCSW (THERAPIST)
(302) 598-0531
Entity
Organization
Contact information
Practice address
1500 SHALLCROSS AVE, WILMINGTON, DE 19806-3037
(302) 598-0531
Mailing address
1500 SHALLCROSS AVE, WILMINGTON, DE 19806-3037
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5146698
DE
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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