Organization
SOUL WISDOM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LANIGRA LCSW (OWNER/PROVIDER)
(207) 573-2205
Entity
Organization
Contact information
Practice address
12 ELM ST, GORHAM, ME 04038-1506
(207) 573-2205
Mailing address
12 ELM ST, GORHAM, ME 04038-1506
(207) 573-2205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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