Individual
MELADIE A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
34009283A
IN
Other
Enumeration date
07/14/2010
Last updated
09/29/2022
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