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Individual

DR. MARY MADELINE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
16306 FOREST GATE RD, DUBUQUE, IA 52001-9701
(563) 556-7071
Mailing address
16306 FOREST GATE RD, DUBUQUE, IA 52001-9701
(563) 556-7071

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
00568
IA
103TC0700X
Clinical Psychologist
Primary
00568
IA

Other

Enumeration date
02/16/2007
Last updated
09/11/2025
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