Jennifer Lynn Porter
Jennifer Lynn Porter is a Developmental Therapist in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
1108 W Willow StCarbondale, IL 62901-1138
Phone: (618) 549-4442
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X (IL) |
|---|
Record details
| NPI number | 1740646686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 7, 2016 |
| Last updated in NPPES | January 7, 2016 |
| Mailing address | 1108 W Willow St, Carbondale, IL 62901-1138 |
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Jennifer Besson
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MS. Stacy Marie Stratton, DT
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