Individual
CLARISSA CHAVON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1958 MAPLE AVE # 2, CINCINNATI, OH 45212-2028
(513) 413-0491
Mailing address
1958 MAPLE AVE # 2, CINCINNATI, OH 45212-2028
(513) 413-0491
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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