Individual
JACQUELINE ESTELLE BELLEFONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1451 N MAPLEWOOD AVE APT 1R, CHICAGO, IL 60622-1880
(630) 456-6718
Mailing address
1451 N MAPLEWOOD AVE APT 1R, CHICAGO, IL 60622-1880
(630) 456-6718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149026409
IL
Other
Enumeration date
12/13/2023
Last updated
01/31/2024
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