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1174053946
HEATHER MARIE JOHNSON
CHAMPAIGN, IL
NPI
1174053946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2017-06-14
Last Update Date
2022-07-21
Business Address
Mrs. HEATHER MARIE JOHNSON DT
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821-2035
Phone number: 217-356-9176
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Mailing Address
Mrs. HEATHER MARIE JOHNSON DT
1304 W. BRADLEY AVE.
CHAMPAIGN, IL 61821
Phone number: 217-356-9176
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