| NPI | 1679191456 |
|---|---|
| Doing Business As | SOUL 2 SOLE WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | SHANDRA PARKS CEO/Clinician 443-292-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |