Individual
THERESA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 E DODGE ST, FREMONT, NE 68025-5738
(402) 660-7393
Mailing address
1148 E DODGE ST, FREMONT, NE 68025-5738
(402) 660-7393
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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