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1336167576
MILLICENT JOHNSON SHADDEN
WINSTON SALEM, NC
NPI
1336167576
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Other Name
M MICHELE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C001902)
Enumeration Date
2006-07-17
Last Update Date
2020-10-29
Business Address
MILLICENT JOHNSON SHADDEN LCSW
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103-6951
Phone number: 336-718-3550
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Mailing Address
MILLICENT JOHNSON SHADDEN LCSW
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number:
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