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Organization

SOUL SEARCH STUDIOS

Active
Other names
SOUL SEARCH STUDIOS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARRELL LAVON JOHNSON (CREDENTIALING SPECIALIST)
(561) 356-6313
Entity
Organization

Contact information

Practice address
14360 MARRIAN AVE, JUPITER, FL 33458-6753
(561) 777-9934
Mailing address
14360 MARRIAN AVE, JUPITER, FL 33458-6753
(561) 777-9934

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
05/12/2020
Last updated
05/12/2020
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