JOHNNY WHITE

SOUTH HOLLAND, IL
NPI1306149497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  14900674)
Enumeration Date2010-12-10
Last Update Date2010-12-10
Business Address
Mr. JOHNNY WHITE LCSW
15663 KIMBARK AVE
SOUTH HOLLAND, IL 60473-1826
Phone number: 630-747-4498
Mailing Address
Mr. JOHNNY WHITE LCSW
15663 KIMBARK AVE
SOUTH HOLLAND, IL 60473-1826
Phone number: 630-747-4498
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