Individual
CAROLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 LYNDHURST ST, BALTIMORE, MD 21229-2951
(443) 766-5815
Mailing address
7414 LESADA DR APT 2B, BALTIMORE, MD 21244-4379
(144) 766-5815
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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