Individual
JORDAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 DAVIS ST, EVANSTON, IL 60201-4619
(312) 815-9660
Mailing address
1218 W NORTH SHORE AVE APT 3S, CHICAGO, IL 60626-5602
(630) 418-5414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102009
IL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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