Individual
MARIA DYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S,ACHP-SW
Contact information
Practice address
941 RIVER RD STE B, GRANVILLE, OH 43023-9534
(740) 587-1543
Mailing address
6315 WINTERWOOD DR, NASHPORT, OH 43830-9740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
I1451084
OH
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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