TIAIRA M JOHNSON

LANSING, IL
NPI1891571683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2023-09-06
Last Update Date2023-09-06
Business Address
TIAIRA M JOHNSON
18241 WEST ST STE 206
LANSING, IL 60438-3282
Phone number: 702-955-3818
Mailing Address
TIAIRA M JOHNSON
18241 WEST ST STE 206
LANSING, IL 60438-3282
Phone number: 702-955-3818
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