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Search › Ohio › 207QA0401X

Shirley Johnson, OHIO LICDC-CSAND LSW

NPI 1942656244 · on the registry since 2016 · sole proprietor

Practice

Address
8658 N Main St
Dayton, OH 45415
Phone
(937) 701-0030
Fax
(937) 387-9043
Organisation at this address
Heartland Therapeutics
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207QA0401X
207QA0401X
Also registered as
207QA0401X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-05

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 Ohio