Nisa Johnson

NPI #1255716205 in Normal, Illinois

Provider Information

NPI Number
1255716205
Entity Type
Individual
Name
Nisa Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jul 20, 2015
Last Updated
Oct 24, 2022

Practice Location

Address
1100 BEECH ST BLDG 10-1
City
Normal
ZIP Code
61761-1568
Phone
(309) 750-0415

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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