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Individual

HOLLY D JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ITDS

Contact information

Practice address
2390 51ST ST N, ST PETERSBURG, FL 33710-3539
(727) 323-7783
(727) 323-0199
Mailing address
2390 51ST ST N, ST PETERSBURG, FL 33710-3539
(727) 323-7783
(727) 323-0199

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
FL

Other

Enumeration date
01/26/2007
Last updated
07/09/2007
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