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Organization
MINDFUL SOUL THERAPY LLC
Active
Organization
MINDFUL SOUL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY GLENN LCSW (THERAPIST)
(224) 558-3261
Entity
Organization
Contact information
Practice address
902 RIDGE SQUARE, ELK GROVE VILLAGE, IL 60007
(224) 558-3261
Mailing address
422 S MAIN ST UNIT 2059, LOMBARD, IL 60148-2600
(224) 558-3261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
09/04/2024
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