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1639778384
MARIAH JOHNSON
EFFINGHAM, IL
NPI
1639778384
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Former Name
MARIAH BURCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
MARIAH JOHNSON BA
1200 N 4TH ST
EFFINGHAM, IL 62401-3032
Phone number: 217-347-7179
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Mailing Address
MARIAH JOHNSON BA
1200 N 4TH ST
EFFINGHAM, IL 62401-3032
Phone number: 217-347-7179
Copy
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