Individual
MELISSA E PORFIRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 EDGEWATER DR, MINOOKA, IL 60447-8924
(708) 997-2002
Mailing address
519 EDGEWATER DR, MINOOKA, IL 60447-8924
(708) 997-2002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
03/03/2020
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