JORDAN PORTNER

O FALLON, IL
NPI1346993573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242006237)
Enumeration Date2022-01-28
Last Update Date2022-02-09
Business Address
JORDAN PORTNER
634 N MAIN ST STE 3
O FALLON, IL 62269-3746
Phone number: 618-632-4222
Mailing Address
JORDAN PORTNER
634 N MAIN ST STE 3
O FALLON, IL 62269-3746
Phone number: 618-632-4222
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