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1700246873
TRACEY JOHNSON
CALUMET PARK, IL
NPI
1700246873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
MS. TRACEY JOHNSON
12410 S ABERDEEN ST
CALUMET PARK, IL 60827-5806
Phone number: 773-809-2245
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Mailing Address
MS. TRACEY JOHNSON
12410 S ABERDEEN ST
CALUMET PARK, IL 60827-5806
Phone number: 773-809-2245
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