Individual
CHANTEL VANTRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHARLESTON DR UNIT 109-108, MOORESVILLE, NC 28117-7700
(980) 444-0806
Mailing address
110 CHARLESTON DR UNIT 109-108, MOORESVILLE, NC 28117-7700
(980) 444-0806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P012080
NC
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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