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Individual

JOANNA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1711 CENTRAL AVE, SUMMERVILLE, SC 29483-9320
(843) 934-1981
Mailing address
205 AYERS CIR, SUMMERVILLE, SC 29485-3303
(843) 934-1981

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1568906394
SC

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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