Soul Wisdom Counseling

NPI #1427697051 in Gorham, Maine

Provider Information

NPI Number: 1427697051
Entity Type: Organization
Organization Name: Soul Wisdom Counseling
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 30, 2019
Last Updated: Dec 30, 2019

Practice Location

Address: 12 ELM ST
City: Gorham
State: Maine
ZIP Code: 04038-1506
Phone: (207) 573-2205

Authorized Official

Name: DONNA LANIGRA, LCSW
Title: OWNER/PROVIDER
Phone: (207) 573-2205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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