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Organization
SOZO LIFE AND WELLNESS CENTER, PLLC
Active
Organization
SOZO LIFE AND WELLNESS CENTER, PLLC
Active
Other names
DivaKay
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA KAY CERES LPC (OWNER)
(919) 695-3943
Entity
Organization
Contact information
Practice address
3805 RAMBLEWOOD AVE, DURHAM, NC 27713
(919) 695-3943
(919) 767-9652
Mailing address
PO BOX 51014, DURHAM, NC 27717-1014
(919) 695-3943
(919) 767-9652
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6760
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103721
—
NC
Enumeration date
03/12/2008
Last updated
12/20/2011
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