Individual
ALEXANDRA LILIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2551 N CLARK ST, SUITE 800, CHICAGO, IL 60614-1798
(312) 257-8550
Mailing address
2551 N CLARK ST, SUITE 800, CHICAGO, IL 60614-1798
(312) 257-8550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016854
IL
Other
Enumeration date
10/03/2011
Last updated
11/20/2014
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