Individual
AMANDA MICHELLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
116 LEE ST, SHELBY, NC 28150-3839
(704) 487-4000
Mailing address
116 LEE ST, SHELBY, NC 28150-3839
(704) 487-4000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019773
NC
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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