LIGHT SOURCE LLC

BELLEVILLE, IL
NPI1902454689
Entity TypeOrganization
Authorized ContactCHARLES FRANKE
Lcsw/Owner
618-444-9934
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
LIGHT SOURCE LLC
114 E LINCOLN ST
BELLEVILLE, IL 62220-2251
Phone number: 618-444-9934
Mailing Address
LIGHT SOURCE LLC
114 E LINCOLN ST
BELLEVILLE, IL 62220-2251
Phone number: 618-444-9934
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