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1235583147
LYNDSEY JOHNSEN
BLOOMINGTON, IL
NPI
1235583147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149016349)
Enumeration Date
2016-04-17
Last Update Date
2016-04-17
Business Address
-- LYNDSEY JOHNSEN
901 E GROVE ST STE O
BLOOMINGTON, IL 61701-8539
Phone number: 815-579-8350
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Mailing Address
-- LYNDSEY JOHNSEN
PO BOX 111
BLOOMINGTON, IL 61702-0111
Phone number: 815-579-8350
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