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Organization
SOULFUL GRACE LCSW PLLC
Active
Organization
SOULFUL GRACE LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANI A GARDNER LCSW (MEMBER-MANAGER/OWNER)
(201) 644-6473
Entity
Organization
Contact information
Practice address
800 3RD AVE FRNT A1760, NEW YORK, NY 10022-7649
(201) 644-6473
Mailing address
800 3RD AVE FRNT A1760, NEW YORK, NY 10022-7649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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