Individual
MERRI LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAMA
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
297156
IL
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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