IDA JOHNSON

MILLERSVILLE, MD
NPI1356890412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  17031)
Enumeration Date2016-09-29
Last Update Date2016-09-29
Business Address
-- IDA JOHNSON
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108-2589
Phone number: 410-780-5203
Mailing Address
-- IDA JOHNSON
1114 BENFIELD BLVD STE G
MILLERSVILLE, MD 21108-2589
Phone number: