Miranda Lou Johnon

NPI #1972085249 in Rockford, Illinois

Provider Information

NPI Number
1972085249
Entity Type
Individual
Name
Miranda Lou Johnon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Sep 4, 2018
Last Updated
Sep 4, 2018

Practice Location

Address
2704 N MAIN ST
ZIP Code
61103-3112
Phone
(815) 968-9300

Specialties & Taxonomy Codes

Specialty
Counselor

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