Individual
MARY MARGARET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
6614 SHALLOWFORD RD. SUITE 250, LEWISVILLE, NC 27023
(336) 945-0137
Mailing address
2843 HERMITAGE DRIVE, WINSTON-SALEM, NC 27103
(336) 972-7072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P013190
NC
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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