Individual
JADA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 S PAULINA ST STE 438, CHICAGO, IL 60612-3808
(312) 942-1957
Mailing address
6829 S CLAREMONT AVE, CHICAGO, IL 60636-3138
(312) 536-6266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109994
IL
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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