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Individual

DR. CHARLENE M JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4257
Mailing address
7809 N 28TH 1/2 ST, TERRE HAUTE, IN 47805-1031
(812) 236-8445

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043627B
IN

Other

Enumeration date
11/10/2022
Last updated
11/10/2022
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