Individual
SHELLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2273
Mailing address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
293288
FL
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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