EDWIN D JOHNSON

COUNTRYSIDE, IL
NPI1881116382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149002512)
Enumeration Date2017-07-17
Last Update Date2017-07-17
Business Address
EDWIN D JOHNSON
6502 JOLIET RD
COUNTRYSIDE, IL 60525-4682
Phone number: 708-215-8400
Mailing Address
EDWIN D JOHNSON
6502 JOLIET RD
COUNTRYSIDE, IL 60525-4682
Phone number:
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