STAR JOHNSON

DAYTONA BEACH, FL
NPI1568979235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Additional Taxonomies252Y00000X Early Intervention Provider Agency
Enumeration Date2018-01-04
Last Update Date2018-01-04
Business Address
STAR JOHNSON
201 THORNBERRY BRANCH LN
DAYTONA BEACH, FL 32124-3652
Phone number: 386-872-4892
Mailing Address
STAR JOHNSON
201 THORNBERRY BRANCH LN
DAYTONA BEACH, FL 32124-3652
Phone number: 386-872-4892
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