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Organization
SHINING BRIGHT WELLNESS PLLC
Active
Organization
SHINING BRIGHT WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA JOHNSON LCSW (OWNER)
(815) 751-6439
Entity
Organization
Contact information
Practice address
3547 N PULASKI RD, CHICAGO, IL 60641-3945
(815) 751-6439
Mailing address
1502 S PRAIRIE AVE UNIT H, CHICAGO, IL 60605-3350
(815) 751-6439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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