Edwin D Johnson

NPI #1881116382 in Countryside, Illinois

Provider Information

NPI Number: 1881116382
Entity Type: Individual
Name: Edwin D Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 17, 2017
Last Updated: Jul 17, 2017

Practice Location

Address: 6502 JOLIET RD
City: Countryside
State: Illinois
ZIP Code: 60525-4682
Phone: (708) 215-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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