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Individual

MS. CHANTA LAKEISH LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4144 LINDELL BLVD, SUITE 408, SAINT LOUIS, MO 63108-2927
(314) 534-4345
Mailing address
9432 W MAIN ST, BELLEVILLE, IL 62223-1713
(618) 447-0219

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
02/04/2013
Last updated
03/05/2013
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