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Organization

CHANGE THE WAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKIDA CAPASSO LCSW (OWNER/ CLINICAL SOCIAL WORKER)
(267) 354-0767
Entity
Organization

Contact information

Practice address
306 S NEW ST STE 110, BETHLEHEM, PA 18015-1110
(267) 354-0767
Mailing address
306 S NEW ST STE 110, BETHLEHEM, PA 18015-1110
(267) 354-0767

Taxonomy

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

Other

Enumeration date
08/04/2022
Last updated
05/19/2025
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