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1023235983
STEPHANIE A JOHNSON
ROCKFORD, IL
NPI
1023235983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149009491)
Enumeration Date
2007-04-19
Last Update Date
2019-12-04
Business Address
STEPHANIE A JOHNSON LCSW
4835 MANHATTAN DR STE 4
ROCKFORD, IL 61108-2265
Phone number: 815-520-2303
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Mailing Address
STEPHANIE A JOHNSON LCSW
4835 MANHATTAN DR STE 4
ROCKFORD, IL 61108-2265
Phone number: 815-520-2303
Copy
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