NISA JOHNSON

NORMAL, IL
NPI1255716205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149017179)
Enumeration Date2015-07-20
Last Update Date2022-10-24
Business Address
NISA JOHNSON
1100 BEECH ST BLDG 10-1
NORMAL, IL 61761-1568
Phone number: 309-750-0415
Mailing Address
NISA JOHNSON
1100 BEECH ST BLDG 10-1
NORMAL, IL 61761-1568
Phone number: 309-750-0415
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