MODERN SOUL THERAPY LLC

CHICAGO, IL
NPI1013516145
Entity TypeOrganization
Authorized ContactMALLORY A INGRAM
Therapist
740-408-6407
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-10-20
Last Update Date2020-10-20
Business Address
MODERN SOUL THERAPY LLC
2000 N RACINE AVE STE 2160
CHICAGO, IL 60614-4045
Phone number: 740-408-6407
Mailing Address
MODERN SOUL THERAPY LLC
375 MARKET ST UNIT 304
BRIGHTON, MA 02135-2754
Phone number: 740-408-6407
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