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1871038091
LANISE JOHNSON
CALUMET CITY, IL
NPI
1871038091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-12-24
Last Update Date
2016-12-24
Business Address
Mrs. LANISE JOHNSON
399 MERRILL AVE
CALUMET CITY, IL 60409-2227
Phone number: 708-203-3760
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Mailing Address
Mrs. LANISE JOHNSON
399 MERRILL AVE
CALUMET CITY, IL 60409-2227
Phone number: 708-203-3760
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