Individual
AMY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6546 N NATOMA AVE, CHICAGO, IL 60631-1732
(773) 682-0472
Mailing address
6546 N NATOMA AVE, CHICAGO, IL 60631-1732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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