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1023898004
KEONA S JOHNSON
SAVOY, IL
NPI
1023898004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.025789)
Enumeration Date
2023-10-05
Last Update Date
2024-10-01
Business Address
KEONA S JOHNSON
1806 WOODFIELD DR STE 105
SAVOY, IL 61874-9505
Phone number: 217-766-0258
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Mailing Address
KEONA S JOHNSON
2501 CHATHAM RD STE 5633
SPRINGFIELD, IL 62704-4188
Phone number: 217-364-8338
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