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Individual

NICOLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
Mailing address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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