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1104017177
MICHELLE JENNIFER JOHANN
CHICAGO, IL
NPI
1104017177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178003189)
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
Mrs. MICHELLE JENNIFER JOHANN LPC
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640-1125
Phone number: 773-769-4313
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Mailing Address
Mrs. MICHELLE JENNIFER JOHANN LPC
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640-1125
Phone number: 773-769-4313
Copy
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