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Organization
SOUL PRACTICE LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization
SOUL PRACTICE LICENSED CLINICAL SOCIAL WORKER PC
Active
Other names
Soul Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA GOMEZ LCSW (OWNER)
(800) 621-8119
Entity
Organization
Contact information
Practice address
657 SOUTH MCDONNELL AVE, EAST LOS ANGELES, CA 90022
(800) 621-8119
(800) 621-8119
Mailing address
1968 S COAST HWY # 2987, LAGUNA BEACH, CA 92651-3681
(800) 621-8119
(800) 621-8119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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