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Individual
MISS STACY LAUREN JOHNSON
Active
Individual
MISS STACY LAUREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2411665
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
CHW.002542
OH
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/04/2024
Last updated
11/20/2024
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