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Organization

GROWTH THRU CHANGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEFANIE SOPHIA BRANDSTETTER LCSW (CEO)
(215) 337-3993
Entity
Organization

Contact information

Practice address
1625 SOUTH ST, PHILADELPHIA, PA 19146-1541
(215) 337-3993
(215) 337-3993
Mailing address
1625 SOUTH ST, PHILADELPHIA, PA 19146-1541
(215) 337-3993
(215) 337-3993

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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