| NPI | 1780647651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE JOHNSON Partner/Lcsw 815-703-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009491) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-05-27 |