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1255094983
THE GIFTED SOUL, LLC
CHICAGO, IL
NPI
1255094983
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Entity Type
Organization
Authorized Contact
KENYATTA NICHOLE WILLIAMS-ROSS
Therapist
630-701-5638
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
THE GIFTED SOUL, LLC
2804 W JEROME ST
CHICAGO, IL 60645-1231
Phone number: 630-701-5638
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Mailing Address
THE GIFTED SOUL, LLC
2804 W JEROME ST
CHICAGO, IL 60645-1231
Phone number: 630-701-5638
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