Individual
BRENDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10451 YANKEE RIDGE DR, FRANKFORT, IL 60423-2204
(708) 400-4822
Mailing address
10451 YANKEE RIDGE DR, FRANKFORT, IL 60423-2204
(708) 400-4822
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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