LISA MARLOW JOHNSON

BELLEVILLE, IL
NPI1629208731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2009-07-23
Last Update Date2009-07-23
Business Address
Ms. LISA MARLOW JOHNSON
34 FENWOOD DR
BELLEVILLE, IL 62220
Phone number: 618-292-9659
Mailing Address
Ms. LISA MARLOW JOHNSON
34 FENWOOD DR
BELLEVILLE, IL 62220
Phone number: 618-292-9659