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Organization

MICHELLE C. JOHNSON L.C.S.W.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE C. JOHNSON L.C.S.W. (L.C.S.W. THERAPIST)
(302) 893-9235
Entity
Organization

Contact information

Practice address
504 S CLAYTON ST, WILMINGTON, DE 19805-4211
(302) 893-9235
(302) 655-4406
Mailing address
322 W 35TH ST, WILMINGTON, DE 19802-2639
(302) 893-9235

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001156
DE

Other

Enumeration date
06/28/2012
Last updated
06/28/2012
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