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Organization

LOVE & LIGHT COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE ANN LOUISE SHAW LICSW (OWNER)
(612) 208-8085
Entity
Organization

Contact information

Practice address
690 HUMBOLDT DR STE I&K, BIG LAKE, MN 55309-4812
(612) 208-8085
Mailing address
4050 147TH LN NW, ANDOVER, MN 55304-3124
(612) 208-8085

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/01/2024
Last updated
11/11/2024
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