KELLY MARIE GOODWIN

ROCKFORD, IL
NPI1972078392
Former NameKELLY MARIE LOUGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  1-18-31541)
Enumeration Date2018-10-11
Last Update Date2022-07-12
Business Address
KELLY MARIE GOODWIN
2990 N PERRYVILLE RD
ROCKFORD, IL 61107-6814
Phone number: 815-469-1500
Mailing Address
KELLY MARIE GOODWIN
2990 N PERRYVILLE RD
ROCKFORD, IL 61107-6814
Phone number: 815-469-1500