RAE A JOHNSON

CENTRALIA, IL
NPI1669691044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
-- RAE A JOHNSON
299 SWAN
CENTRALIA, IL 62801
Phone number: 618-533-4423
Mailing Address
-- RAE A JOHNSON
301 S WASHINGTON ST
SALEM, IL 62881-3028
Phone number: