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1801340302
ANDRE JOHNSON
CHICAGO, IL
NPI
1801340302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 149.018574)
Enumeration Date
2016-08-12
Last Update Date
2016-08-12
Business Address
-- ANDRE JOHNSON
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 312-413-2769
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Mailing Address
-- ANDRE JOHNSON
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number:
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