Individual
ILINKA ALEXANDROVNA-JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
65 FOREST DRIVE, VARNVILLE, SC 29944
(843) 524-8899
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-8899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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