MS. Edria Johnson, LCSW

NPI #1346664372 in Matteson, Illinois

Provider Information

NPI Number: 1346664372
Entity Type: Individual
Name: MS. Edria Johnson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 11, 2014
Last Updated: Jun 7, 2023

Practice Location

Address: 4801 SOUTHWICK DR STE 300
City: Matteson
State: Illinois
ZIP Code: 60443-2279
Phone: (708) 945-2647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Behavior Analyst	103K00000X

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