Individual
MRS. MICHELLE C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
504 S CLAYTON ST, WILMINGTON, DE 19805-4211
(302) 893-9235
Mailing address
322 W 35TH ST, WILMINGTON, DE 19802-2639
(302) 893-9235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001156
DE
Other
Enumeration date
01/11/2007
Last updated
06/26/2012
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