Individual
GWENDOLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
3135 EUCLID AVE STE 202, CLEVELAND, OH 44115-2524
(216) 431-0002
Mailing address
6753 STATE RD, PARMA, OH 44134-4517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.168557
OH
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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