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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIGHT SOURCE LLC

Active Organization

LIGHT SOURCE LLC is a Clinical Social Worker organization located in BELLEVILLE, Illinois. NPI 1902454689 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BELLEVILLE, IL

Registration Details

NPI Number
1902454689
Provider Type
Organization
NPI Issued
Aug 27, 2019 (6.8204694110146 yrs)
Last Updated
Aug 27, 2019

Practice Information

Address
114 E LINCOLN ST
BELLEVILLE, IL, 622202251
Browse IL providers · Browse ZIP 62220
Phone
6184449934
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in BELLEVILLE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.