Miranda Lou Johnon
Miranda Lou Johnon is a Counselor in Rockford, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2704 N Main StRockford, IL 61103-3112
Phone: (815) 968-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1972085249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 4, 2018 |
| Last updated in NPPES | September 4, 2018 |
| Mailing address | 1021 N Mulford Rd, Rockford, IL 61107-3877 |
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