Marie Johnson

NPI #1467219683 in Park Forest, Illinois

Provider Information

NPI Number: 1467219683
Entity Type: Individual
Name: Marie Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Mar 4, 2024
Last Updated: Mar 4, 2024

Practice Location

Address: 364 NEOLA ST
City: Park Forest
State: Illinois
ZIP Code: 60466-2334
Phone: (708) 362-8960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Community Health Worker	172V00000X
Case Management	251B00000X
Driver	172A00000X	Primary

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