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1720609274
JULIE A PORTER
DANVILLE, IL
NPI
1720609274
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Former Name
JULIE A JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149023151)
Enumeration Date
2020-05-06
Last Update Date
2021-07-09
Business Address
JULIE A PORTER LCSW
1900 E MAIN ST
DANVILLE, IL 61832-5198
Phone number: 217-554-4576
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Mailing Address
JULIE A PORTER LCSW
1900 E MAIN ST
DANVILLE, IL 61832-5198
Phone number: 217-554-4576
Copy
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