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Organization
SAGE & SOUL, L.L.C.
Active
Organization
SAGE & SOUL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAMIELE ANIECE BOSTON LCSW (CEO)
(708) 831-3143
Entity
Organization
Contact information
Practice address
643 E 50TH ST UNIT 2, CHICAGO, IL 60615-3218
(630) 800-9111
Mailing address
643 E 50TH ST UNIT 2, CHICAGO, IL 60615-3218
(630) 800-9111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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