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1427709336
EDLICIA JOHNSON
CHICAGO, IL
NPI
1427709336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 208.001028)
Enumeration Date
2022-01-12
Last Update Date
2022-10-20
Business Address
EDLICIA JOHNSON AMFT
1502 W CHICAGO AVE
CHICAGO, IL 60642-5236
Phone number: 312-339-8604
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Mailing Address
EDLICIA JOHNSON AMFT
2105 HOME ST
JOLIET, IL 60433-9534
Phone number: 815-999-2253
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