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1811513625
EBONY MICHELLE JOHNSON
BALTIMORE, MD
NPI
1811513625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
EBONY MICHELLE JOHNSON AA,ADT
2808 CARVER RD
BALTIMORE, MD 21225-1312
Phone number: 667-967-3639
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Mailing Address
EBONY MICHELLE JOHNSON AA,ADT
2808 CARVER RD
BALTIMORE, MD 21225-1312
Phone number: 667-967-3639
Copy
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