Individual
DR. KIMBERLY JENINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
11501 BALLYMORE, DUNLAP, IL 61525-8713
(630) 452-1620
Mailing address
11501 BALLYMORE, DUNLAP, IL 61525-8713
(163) 045-2162
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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