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Individual

CARRIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
333 GATEWATER CT APT 302, GLEN BURNIE, MD 21060-7120
(717) 940-0003
Mailing address
333 GATEWATER CT APT 302, GLEN BURNIE, MD 21060-7120

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP6599
MD

Other

Enumeration date
09/29/2015
Last updated
09/29/2015
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