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1437595253
GINA JOHNSON
PEORIA, IL
NPI
1437595253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.007124)
Enumeration Date
2013-05-20
Last Update Date
2013-05-20
Business Address
Mrs. GINA JOHNSON LCPC
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2738
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Mailing Address
Mrs. GINA JOHNSON LCPC
1926 COLT DR
WASHINGTON, IL 61571-9241
Phone number: 309-472-4609
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