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Search › North Carolina › 101Y00000X

Gwendoly Johnson, QP

NPI 1356956668 · on the registry since 2020

Practice

Address
1915 Chapel Hill Rd
Durham, NC 27707
Phone
(919) 358-1204
Organisation at this address
Youth Extensions Inc.
Second Chance Community Support Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YP1600X
174400000X
Sex
Female
Record last updated
2020-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina