KIRSTIN JOURNEY PORTER

ROCKFORD, IL
NPI1851883326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  18-54975)
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
KIRSTIN JOURNEY PORTER RBT
1042 LUNDVALL AVE
ROCKFORD, IL 61107-3338
Phone number: 815-519-4763
Mailing Address
KIRSTIN JOURNEY PORTER RBT
1042 LUNDVALL AVE
ROCKFORD, IL 61107-3338
Phone number: 815-519-4763
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