Individual
MRS. COLLEEN THERESE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 CENTRAL PARK DR, ROUND LAKE BEACH, IL 60073-2400
(847) 270-9907
Mailing address
34321 N OLD WALNUT CIR, GURNEE, IL 60031-4265
(847) 567-9012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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