Individual
ELIZABETH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
83 DELBURNE DR, DAVIS, IL 61019-9514
(815) 289-8619
Mailing address
83 DELBURNE DR, DAVIS, IL 61019-9514
(815) 289-8619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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