Individual
MS. CORRINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
708 CHURCH ST, SUITE 233, EVANSTON, IL 60201-3875
(847) 868-6884
Mailing address
708 CHURCH ST STE 219, EVANSTON, IL 60201-3881
(847) 533-7898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016230
IL
Other
Enumeration date
03/07/2013
Last updated
05/22/2019
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