LISA M JOHNSON

ROCKFORD, IL
NPI1558875799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.004910)
Enumeration Date2017-11-27
Last Update Date2017-11-27
Business Address
LISA M JOHNSON M.A. CCC/SLP/L
3520 KISHWAUKEE ST
ROCKFORD, IL 61109-2005
Phone number: 815-229-2870
Mailing Address
LISA M JOHNSON M.A. CCC/SLP/L
7875 TODD RD
SHABBONA, IL 60550-4162
Phone number: 815-824-8152
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