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1477061943
ALICIA R JOHNSON
SPRINGFIELD, IL
NPI
1477061943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-17
Last Update Date
2024-09-10
Business Address
ALICIA R JOHNSON MHT
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541
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Mailing Address
ALICIA R JOHNSON MHT
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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