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Organization
SOUL BLOSSOM LLC
Active
Organization
SOUL BLOSSOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEA ELIZABETH MOTZER LPC (PRESIDENT)
(814) 602-4466
Entity
Organization
Contact information
Practice address
2700 W 21ST ST STE 3, ERIE, PA 16506-6915
(814) 602-4466
Mailing address
2700 W 21ST ST STE 3, ERIE, PA 16506-6915
(814) 602-4466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
02/02/2024
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