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1114168937
JAIME L PORTER
MONTICELLO, IL
NPI
1114168937
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Former Name
JAIME L ELLIOTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.010478)
Enumeration Date
2009-03-09
Last Update Date
2009-03-09
Business Address
-- JAIME L PORTER MSW, LSW
1921 N MARKET ST
MONTICELLO, IL 61856-8144
Phone number: 217-762-5371
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Mailing Address
-- JAIME L PORTER MSW, LSW
1921 N MARKET ST
MONTICELLO, IL 61856-8144
Phone number: 217-762-5371
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