STEPHANIE ANNE JOHANSSON

BLOOMINGTON, IL
NPI1740937754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149024108)
Additional Taxonomies104100000X Social Worker
(Licence: IL  150105975)
Enumeration Date2022-03-09
Last Update Date2022-03-09
Business Address
STEPHANIE ANNE JOHANSSON LCSW
318 W WASHINGTON ST STE 1A
BLOOMINGTON, IL 61701-3893
Phone number: 217-369-2455
Mailing Address
STEPHANIE ANNE JOHANSSON LCSW
318 W WASHINGTON ST STE 1A
BLOOMINGTON, IL 61701-3893
Phone number: