Individual
JUSTINE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 RIDGE TOP RD, LEXINGTON, SC 29072-7131
(732) 759-0364
Mailing address
125 RIDGE TOP RD, LEXINGTON, SC 29072-7131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010558
NY
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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