Individual
GRACE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 FORDEM AVE, MADISON, WI 53704-4696
(608) 729-1153
Mailing address
2120 FORDEM AVE, MADISON, WI 53704-4696
(608) 729-1153
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1226-228
WI
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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