Individual
MRS. JERRI LYNN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 PLEASANT VIEW ROAD, MILLWOOD, KY 42762
(270) 200-3201
Mailing address
PO BOX 36, MILLWOOD, KY 42762-0036
(270) 200-3201
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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