Individual
MS. JESSICA CLAIRE LEIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1925 N CLYBOURN AVE, SUITE 200, CHICAGO, IL 60614-4946
(773) 305-5000
(773) 305-0739
Mailing address
1925 CLYBOURN AVE., SUITE 200, CHICAGO, IL 60614-4946
(773) 305-5000
(773) 305-0739
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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