Individual
MIRACLE A'SHAY CARMICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2395 DOWNING AVE LOT 17, SAVANNAH, GA 31404-3990
(779) 777-4925
Mailing address
2395 DOWNING AVE LOT 17, SAVANNAH, GA 31404-3990
(779) 777-4925
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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