Carol L Johnson

NPI #1649484882 in Sycamore, Illinois

Provider Information

NPI Number: 1649484882
Entity Type: Individual
Name: Carol L Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 245 W EXCHANGE ST STE 4
City: Sycamore
State: Illinois
ZIP Code: 60178-1495
Phone: (815) 895-9227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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