Individual
ANTONETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9401 W BELOIT RD STE 201, MILWAUKEE, WI 53227-4357
(414) 775-2677
Mailing address
7407 W MELVINA ST, MILWAUKEE, WI 53216-1919
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1125-228
WI
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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