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1356093272
NICOLE JOHNSON
DEKALB, IL
NPI
1356093272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
NICOLE JOHNSON BA
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
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Mailing Address
NICOLE JOHNSON BA
PO BOX 1109
DEKALB, IL 60115-7109
Phone number: 815-756-4875
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