Individual
CASSANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 W 77TH ST, BURBANK, IL 60459
(708) 496-3330
Mailing address
660 W WRIGHTWOOD AVE APT 208, CHICAGO, IL 60614-2507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146017287
IL
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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