Individual
DELORES MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8506 HEATHERWICK DR, BRANDYWINE, MD 20613-7881
(317) 408-6367
Mailing address
8506 HEATHERWICK DR, BRANDYWINE, MD 20613-7881
(317) 408-6367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06884
MD
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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