Individual
ELLEN ADELE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
122 WEBER ST, BALTIMORE, MD 21230-4106
(410) 752-5525
(410) 752-5531
Mailing address
672 QUEENSTOWN RD, SEVERN, MD 21144-1241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G07888
MD
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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