Individual
AZAJUAH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 DUXBURY RD, APT #2, WORCESTER, MA 01605-2126
(774) 535-5619
Mailing address
25 DUXBURY RD, APT #2, WORCESTER, MA 01605-2126
(774) 535-5619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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