Individual
DOREEN DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 WOODLAWN RD, STERLING, IL 61081-4151
(815) 625-0013
Mailing address
5193 W MURRAY DR, DIXON, IL 61021-8181
(815) 973-0552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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