Individual
JULIE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 18TH ST, ROCKFORD, IL 61104-5607
(815) 494-5885
Mailing address
5301 E STATE ST, ROCKFORD, IL 61108-2901
(815) 494-5885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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