Individual
JESSICA ANN LUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
(815) 332-6092
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3874
(815) 332-6092
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.106079
IL
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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