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Contact Information

LIVING FOR A CHANGE LLC
2045 LARAMIE AVE
CASPER, WY82604
 Phone: 850-274-7299
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LIVING FOR A CHANGE LLC · (Female)

NPI # 1245601020
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2015
Last updated 01/18/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 13189
  • WY License # 1031
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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