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1063974095
IMANI LISA JOHNSON
SKOKIE, IL
NPI
1063974095
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Former Name
IMANI LISA CHEESEBOUROUGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.015197)
Enumeration Date
2019-03-31
Last Update Date
2019-04-16
Business Address
IMANI LISA JOHNSON LCSW
8053 KOLMAR AVE
SKOKIE, IL 60076-3114
Phone number: 847-909-9858
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Mailing Address
IMANI LISA JOHNSON LCSW
20821 GREENWOOD CENTER CT
OLYMPIA FIELDS, IL 60461-1354
Phone number: 708-275-3419
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