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1861072449
MATTIE C JOHNSON
CHICAGO, IL
NPI
1861072449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
MATTIE C JOHNSON
12436 S WALLACE ST
CHICAGO, IL 60628-7128
Phone number: 773-569-5086
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Mailing Address
MATTIE C JOHNSON
12436 S WALLACE ST
CHICAGO, IL 60628-7128
Phone number: 773-569-5086
Copy
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