Individual
MRS. TRACEY E. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 ROGATE CIR, 303, BALTIMORE, MD 21244-5736
(410) 944-0276
Mailing address
2304 ROGATE CIR, 303, BALTIMORE, MD 21244-5736
(410) 944-0276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1655
MD
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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