MS. Tracey Johnson
MS. Tracey Johnson is an Early Intervention Provider Agency in Calumet Park, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
12410 S Aberdeen StCalumet Park, IL 60827-5806
Phone: (773) 809-2245
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1700246873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 2, 2016 |
| Last updated in NPPES | March 2, 2016 |
| Mailing address | 12410 S Aberdeen St, Calumet Park, IL 60827-5806 |
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