Individual
MISS ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
553 ASHTON MANOR DR, LOGANVILLE, GA 30052-5387
(301) 768-8548
Mailing address
553 ASHTON MANOR DR, LOGANVILLE, GA 30052-5387
(301) 768-8548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN212524
GA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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