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Organization
VOWS OF LIGHT, LLC
Active
Organization
VOWS OF LIGHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ICELYLNN BALDWIN LISW-CP, LCSW (LEAD THERAPIST/OWNER)
(803) 730-1023
Entity
Organization
Contact information
Practice address
2024 S WABASH AVE APT 306, CHICAGO, IL 60616-2283
(803) 638-8373
Mailing address
2024 S WABASH AVE APT 306, CHICAGO, IL 60616-2283
(803) 638-8373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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