Individual
CHRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
70 KUKUK LN, KINGSTON, NY 12401
(845) 336-2616
Mailing address
35 WAUGHKONK RD, KINGSTON, NY 12401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
676730121
NY
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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