Individual
BETHANY JEAN ELSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1462 W LELAND AVE APT 2E, CHICAGO, IL 60640-4693
(773) 316-7517
Mailing address
1007 CHURCH ST, SUITE 302, EVANSTON, IL 60201-3624
(847) 492-1938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016584
IL
1041C0700X
Clinical Social Worker
150.013793
IL
Other
Enumeration date
11/15/2012
Last updated
05/27/2014
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