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Individual

MRS. MICHELLE MARIE JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
124 WEST FRONT STREET, FREDERICA, DE 19946
(302) 335-5261
(302) 335-5273
Mailing address
124 WEST FRONT STREET, FREDERICA, DE 19946
(302) 335-5261
(302) 335-5273

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC-0000670
DE

Other

Enumeration date
03/26/2015
Last updated
03/26/2015
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