Individual
MS. SUSAN GAIL JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 NW 51ST ST APT H144, GAINESVILLE, FL 32606-4352
(352) 647-2805
Mailing address
4000 NW 51ST ST APT H144, GAINESVILLE, FL 32606-4352
(352) 647-2805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMT3641
FL
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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