Individual
CHERYL ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 EDGEWOOD DR., GREEN BAY, WI 54311
(920) 465-9977
(920) 544-5768
Mailing address
830 EDGEWOOD DR., GREEN BAY, WI 54311
(920) 465-9977
(920) 544-5768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
171M0000X
—
Other
Enumeration date
10/08/2019
Last updated
10/09/2019
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