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Individual

MS. CAROLE ELIZABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CS, LICSW

Contact information

Practice address
15 E DEER PARK DR, SUITE 101B, GAITHERSBURG, MD 20877-2000
(301) 881-4884
(301) 740-3577
Mailing address
9905 MAPLE LEAF DR, MONTGOMERY VILLAGE, MD 20886-1133
(301) 258-2765
(301) 740-3577

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R084348
MD

Other

Enumeration date
02/25/2007
Last updated
08/19/2007
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