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Organization
JACQUELINE HERBSTMAN, LCSW, P.C.
Active
Organization
JACQUELINE HERBSTMAN, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE HERBSTMAN LCSW (OWNER)
(312) 307-9887
Entity
Organization
Contact information
Practice address
1770 W BERTEAU AVE, SUITE 302A, CHICAGO, IL 60613-1849
(312) 307-9887
Mailing address
1770 W BERTEAU AVE, SUITE 302A, CHICAGO, IL 60613-1849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013810
IL
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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