DIANA ELLEN JOHNSON

IVORYTON, CT
NPI1336388032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
(Licence: CT  002865)
Enumeration Date2009-02-19
Last Update Date2009-02-19
Business Address
Ms. DIANA ELLEN JOHNSON APRN
2 RACHEL LN
IVORYTON, CT 06442-1154
Phone number: 860-304-0469
Mailing Address
Ms. DIANA ELLEN JOHNSON APRN
2 RACHEL LN
IVORYTON, CT 06442-1154
Phone number: 860-304-0469