Individual
JESSICA ANN LUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6859 IL-72, KINGSTON, IL 60145
(815) 980-2776
Mailing address
6859 IL 72, KINGSTON, IL 60145
(815) 980-2776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.106079
IL
Other
Enumeration date
01/17/2022
Last updated
07/23/2026
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