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1982890562
CAROLYN NICOLE JOHNSON
CHAMPAIGN, IL
NPI
1982890562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.105981)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2007-09-18
Last Update Date
2022-02-19
Business Address
Ms. CAROLYN NICOLE JOHNSON LSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2428
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Mailing Address
Ms. CAROLYN NICOLE JOHNSON LSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2428
Copy
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