Soul Practice Licensed Clinical Social Worker PC
NPI #1689471708 in East Los Angeles, California
Provider Information
- NPI Number
- 1689471708
- Entity Type
- Organization
- Organization Name
- Soul Practice Licensed Clinical Social Worker PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 26, 2025
- Last Updated
- Feb 26, 2025
Practice Location
- Address
- 657 SOUTH MCDONNELL AVE
- City
- East Los Angeles
- State
- California
- ZIP Code
- 90022
- Phone
- (800) 621-8119
Authorized Official
- Name
- KARLA GOMEZ, LCSW
- Title
- OWNER
- Phone
- (800) 621-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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