JERRY RANDALL JOHNSON

WEST FRANKFORT, IL
NPI1679858344
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
-- JERRY RANDALL JOHNSON BSW
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
Mailing Address
-- JERRY RANDALL JOHNSON BSW
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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