Individual
DR. ANITA KAY MCGRUDER-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
18 STRAUSS LN, OLYMPIA FIELDS, IL 60461-1622
(708) 712-8197
(708) 429-2780
Mailing address
18 STRAUSS LN, OLYMPIA FIELDS, IL 60461-1622
(708) 712-8197
(708) 429-2780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
12/11/2006
Last updated
12/06/2007
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