Individual
MRS. MICHELLE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 OGLESBY AVE, #200, NORMAL, IL 61761-4616
(309) 585-2857
Mailing address
108 OAK CREEK PLZ, APT 1-7, BLOOMINGTON, IL 61704-7538
(217) 521-5358
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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