Individual
SARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N WALNUT ST, DOVER, OH 44622-2852
(330) 364-7124
Mailing address
1324 GOSHEN AVE SE, NEW PHILADELPHIA, OH 44663-9377
(330) 795-6229
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1540804
OH
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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