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1295205342
MARY ELIZABETH JOHNSON
CHAMPAIGN, IL
NPI
1295205342
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Former Name
MARY ELIZABETH KIRWAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IL 146.003704)
Enumeration Date
2018-12-03
Last Update Date
2018-12-03
Business Address
MARY ELIZABETH JOHNSON SLP
502 W WINDSOR RD
CHAMPAIGN, IL 61820-7739
Phone number: 217-373-7313
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Mailing Address
MARY ELIZABETH JOHNSON SLP
502 W WINDSOR RD
CHAMPAIGN, IL 61820-7739
Phone number: 217-373-7313
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