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1659911261
TRICIA E JOHNSON
LIBERTYVILLE, IL
NPI
1659911261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149010718)
Enumeration Date
2020-01-11
Last Update Date
2023-03-13
Business Address
TRICIA E JOHNSON LCSW
1524 JULIET LANE
LIBERTYVILLE, IL 60048
Phone number: 847-916-0034
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Mailing Address
TRICIA E JOHNSON LCSW
872 S MILWAUKEE AVE # 131
LIBERTYVILLE, IL 60048-3227
Phone number: 847-916-0034
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