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Individual

MARJORIE JOHNSON

Active
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Individual

MARJORIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
IL
1041C0700X
Clinical Social Worker
Primary
149007642
IL
106H00000X
Marriage & Family Therapist
IL

Other

Enumeration date
09/24/2009
Last updated
09/24/2009
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