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1417735127
SIDNEY JOHNSON
HOMEWOOD, IL
NPI
1417735127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 150.110279)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
SIDNEY JOHNSON LSW
18242 ASHLAND AVE
HOMEWOOD, IL 60430-2305
Phone number: 623-759-1716
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Mailing Address
SIDNEY JOHNSON LSW
18242 ASHLAND AVE
HOMEWOOD, IL 60430-2305
Phone number: 623-759-1716
Copy
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