Individual
MRS. JUVONNE MONIQUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
1745 BURTON ST, WINSTON SALEM, NC 27105-5083
(336) 602-7399
Mailing address
1745 BURTON ST, WINSTON SALEM, NC 27105-5083
(336) 602-7399
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-034-402
NC
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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