Individual
KAREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 FAR HILLS AVE, KETTERING, OH 45429-2506
(937) 499-1651
Mailing address
3750 FAR HILLS AVE, KETTERING, OH 45429-2506
(937) 499-1651
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
KU1-01-1916
OH
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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