CHARMYNNE IESHA ITSON

SPRINGFIELD, IL
NPI1518442730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
CHARMYNNE IESHA ITSON
5220 6TH STREET FRONTAGE RD E STE 1700
SPRINGFIELD, IL 62703-5771
Phone number: 217-525-8332
Mailing Address
CHARMYNNE IESHA ITSON
5220 6TH STREET FRONTAGE RD E STE 1700
SPRINGFIELD, IL 62703-5771
Phone number: 217-525-8332