Kipfer, Jacqueline M

Kipfer, Jacqueline M is an sole proprietor health care provider with primary practice located at 337 Country Club Dr Apt B , Pekin IL 61554-2696. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kipfer, Jacqueline M can be contacted via phone (130) 939-7983.

Contact Information

Primary practice address
337 Country Club Dr Apt B Pekin IL 61554-2696
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1275264541
LBN Legal business name Kipfer, Jacqueline M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2022
Last updated Jun 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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