Individual
MRS. SHANIQUA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(215) 214-9638
Mailing address
215 W GENERAL GREY CT, NEWARK, DE 19702-3829
(215) 214-9638
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133009
PA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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