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1801094446
THOR JOHANSEN
CHICAGO, IL
NPI
1801094446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 71007301)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
Dr. THOR JOHANSEN Psy.D.
4801 W PETERSON AVE STE 303
CHICAGO, IL 60646-5726
Phone number: 773-282-2322
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Mailing Address
Dr. THOR JOHANSEN Psy.D.
3329 N HOYNE AVE # 1
CHICAGO, IL 60618-6243
Phone number: 773-428-2449
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