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Organization
PEACEFUL SOUL THERAPEUTIC SERVICES
Active
Organization
PEACEFUL SOUL THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MARTELLO LCSW LCADC (OWNER)
(856) 267-0499
Entity
Organization
Contact information
Practice address
535 ROUTE 38 STE 149C, CHERRY HILL, NJ 08002-2953
(856) 655-6635
Mailing address
535 ROUTE 38 EAST, SUITE 149C, CHERRY HILL, NJ 08002-0811
(856) 267-0499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
06/10/2021
Last updated
10/01/2021
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