Individual
MS. EDRIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4801 SOUTHWICK DR STE 300, MATTESON, IL 60443-2279
(708) 945-2647
Mailing address
20015 S LAGRANGE RD # 1450, FRANKFORT, IL 60423-3104
(708) 945-2647
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
02/11/2014
Last updated
06/07/2023
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