Corrine Johnson Lcsw Llc

NPI 1194156547 - Social Worker - 1041C0700X

NPI Details
NPI 1194156547
Enumeration Date 12/11/2013
Last Updated 04/28/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CORRINE CORRINE
Position THERAPIST
Phone (847) 868-6884
Fax
Practice Location
708 CHURCH ST
SUITE 233
EVANSTON IL, 60201-3875, US
Phone (847) 868-6884
Fax
Business Location
708 CHURCH ST
SUITE 233
EVANSTON IL, 60201-3875, US
Phone (847) 868-6884
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149016230
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According to our database, Corrine Johnson Lcsw Llc NPI is 1194156547, taxonomy code is 1041C0700X and license number is 149016230, license state is located at Illinois. Corrine Johnson Lcsw Llc physically located at 708 Church St, Evanston IL, 60201-3875. NPI Number 1033115704 has the healthcare provider type.

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1194156547 NPI number is provided on an as is basis without warranty of any kind. 1194156547 is maintained by the National Plan & Provider Enumeration System. The contents of Corrine Johnson Lcsw Llc are for informational purposes only.