Individual
JACQUELINE MARJORIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 FORESTVIEW DR, WILLIAMSVILLE, NY 14221-1416
(716) 907-2596
Mailing address
170 FORESTVIEW DR, WILLIAMSVILLE, NY 14221-1416
(716) 907-2596
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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