Individual
MS. DANITA JO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7 LOCH LOMOND LN, PUEBLO, CO 81001-1729
(719) 778-1484
Mailing address
7 LOCH LOMOND LN, PUEBLO, CO 81001-1729
(719) 787-8148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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