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1023521705
AMY JEAN PORTER
O FALLON, IL
NPI
1023521705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2017-11-16
Last Update Date
2022-09-29
Business Address
AMY JEAN PORTER MS, CCC-SLP/L
505 S CHERRY ST
O FALLON, IL 62269-2043
Phone number: 618-632-3621
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Mailing Address
AMY JEAN PORTER MS, CCC-SLP/L
737 KLEIN DR
SMITHTON, IL 62285-1403
Phone number: 518-830-9528
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