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1356890412
IDA JOHNSON
MILLERSVILLE, MD
NPI
1356890412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 17031)
Enumeration Date
2016-09-29
Last Update Date
2016-09-29
Business Address
-- IDA JOHNSON
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108-2589
Phone number: 410-780-5203
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Mailing Address
-- IDA JOHNSON
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108-2589
Phone number:
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