Individual
JAVITA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5000 S 5TH AVE, SOCIAL WORK SERVICE (122), HINES, IL 60141-3030
(708) 202-8387
Mailing address
4072 S OAKENWALD AVE, CHICAGO, IL 60653-2527
(219) 644-6069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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