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Organization
THE GIFTED SOUL, LLC
Active
Organization
THE GIFTED SOUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENYATTA NICHOLE WILLIAMS-ROSS LCSW (THERAPIST)
(630) 701-5638
Entity
Organization
Contact information
Practice address
2804 W JEROME ST, CHICAGO, IL 60645-1231
(630) 701-5638
Mailing address
2804 W JEROME ST, CHICAGO, IL 60645-1231
(630) 701-5638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
08/15/2025
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