| NPI | 1194156547 |
|---|---|
| Doing Business As | CORRINE JOHNSON LCSW |
| Entity Type | Organization |
| Authorized Contact | CORRINE JOHNSON Therapist 847-868-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016230) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2015-04-28 |