Individual
ANGELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 342-4560
Mailing address
511 ROBERTSON ST, WAUWATOSA, WI 53213-3333
(414) 303-3983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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