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Individual

MISS DENISE LASAL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
135 N PARKE ST, ABERDEEN, MD 21001-2428
(443) 625-1600
(443) 625-1520
Mailing address
515 WARREN ST, APT. 2, HAVRE DE GRACE, MD 21078-2662
(410) 939-1808
(443) 625-1520

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
G12941
MD

Other

Enumeration date
09/17/2007
Last updated
09/17/2007
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