Provider Information for 1902571110
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SHILOH MARIE JOHNSON LMFT
Sex: Female
NPI: 1902571110
Last Updated: 2021-08-10
Certification Date: 2021-08-10
Certification Date: 2021-08-10
Details
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NPI | 1902571110 | ||||||||
Enumeration Date | 2021-08-10 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 6390 HARMONY GROVE RD DOVER, PA 17315-2972 United States Phone: 717-542-8079 | Fax: | ||||||||
Primary Practice Address | 5661 FISH AND GAME RD DOVER, PA 17315-2929 United States Phone: 717-542-8079 | Fax: | ||||||||
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