BRIANNA RAE JOHNSON

DEKALB, IL
NPI1952900375
Former NameBRIANNA RAE WOLLWERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-10-19
Last Update Date2020-10-19
Business Address
BRIANNA RAE JOHNSON
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
Mailing Address
BRIANNA RAE JOHNSON
PO BOX 1109
DEKALB, IL 60115-7109
Phone number:
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