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Organization
SOUL EXPRESSIONS THE COUNSELING AND WELLNESS CAFE PLLC
Active
Organization
SOUL EXPRESSIONS THE COUNSELING AND WELLNESS CAFE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA MARIE LOCKLEAR LCSW (OWNER)
(910) 379-0582
Entity
Organization
Contact information
Practice address
4028 LEMUEL FARM RD, FAYETTEVILLE, NC 28312-9274
(910) 379-0582
(910) 745-8035
Mailing address
4028 LEMUEL FARM RD, FAYETTEVILLE, NC 28312-9274
(910) 379-0582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437704467
—
NC
Enumeration date
01/25/2022
Last updated
01/25/2022
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