Organization
SOUL 2 SOLE WELLNESS, LLC
Active
Other names
Soul 2 Sole Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANDRA PARKS LMSW (CEO/CLINICIAN)
(443) 292-2809
Entity
Organization
Contact information
Practice address
400 RENFRO DR UNIT 311, GLEN BURNIE, MD 21060-3605
(443) 292-2809
Mailing address
1400 W LOMBARD ST, BALTIMORE, MD 21223-3134
(443) 292-2809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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