Individual
MARNIECE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
(414) 540-2171
Mailing address
2801 W GLEN FLORA AVE APT 207, WAUKEGAN, IL 60085-1376
(708) 250-4767
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010726
IL
Other
Enumeration date
10/11/2016
Last updated
04/03/2025
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