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1023514189
LAMARK JOHNSON
CHICAGO, IL
NPI
1023514189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 23765)
Enumeration Date
2018-04-05
Last Update Date
2018-04-05
Business Address
Mr. LAMARK JOHNSON CADC
8000 S RACINE AVE
CHICAGO, IL 60620-3011
Phone number: 773-966-0255
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Mailing Address
Mr. LAMARK JOHNSON CADC
222 S JEFFERSON ST
CHICAGO, IL 60661-5603
Phone number: 312-441-9009
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