Individual
MR. CARL EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1537 W ADAMS ST, #2R, CHICAGO, IL 60607-2451
(312) 560-8513
Mailing address
1537 W ADAMS ST, #2R, CHICAGO, IL 60607-2451
(312) 560-8513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149000480
IL
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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