Individual
MS. JOYCELYN ANNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
4850 S LAKE PARK AVE, CHICAGO, IL 60615-2130
(773) 624-5089
(773) 624-5089
Mailing address
4850 S LAKE PARK AVE # 21007, CHICAGO, IL 60615-2130
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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