Jessica Lyn Ellefritz, LCSW

NPI #1821696311 in Macomb, Illinois

Provider Information

NPI Number: 1821696311
Entity Type: Individual
Name: Jessica Lyn Ellefritz, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 118 TIMBERVIEW DR
City: Macomb
State: Illinois
ZIP Code: 61455-9319
Phone: (217) 773-2728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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