| Soul Werk Cafe Pllc | |
|
4137 Sauk Trl Ste 217 Richton Park IL 60471-1253 | |
| (708) 580-6042 | |
| Not Available |
| Full Name | Soul Werk Cafe Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4137 Sauk Trl Ste 217, Richton Park, Illinois |
| Authorized Official Name and Position | Shaniqua Ford (OWNER/LEAD THERAPIST) |
| Authorized Official Contact | 7735742570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Werk Cafe Pllc 4137 Sauk Trl Ste 217 Richton Park IL 60471-1253 Ph: (708) 580-6042 | Soul Werk Cafe Pllc 4137 Sauk Trl Ste 217 Richton Park IL 60471-1253 Ph: (708) 580-6042 |
| NPI Number | 1750986279 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750986279 | NPI | - | NPPES |
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