Individual
ELLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MGCS, LCGC
Contact information
Practice address
1111 HARWOOD DR S, FARGO, ND 58104-4603
(701) 234-8007
Mailing address
1111 HARWOOD DR S, FARGO, ND 58104-4603
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC0109
ND
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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