Individual
ANGELA M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10640 BUSINESS 21, HILLSBORO, MO 63050-5039
(618) 877-4420
Mailing address
448 WYLIE DR, NORMAL, IL 61761-5405
(618) 512-1803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022031729
MO
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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