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Individual
MS. TINA JOHNSON
Active
Individual
MS. TINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C8883
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8883
MISSISSIPPI BOARD OF EXAMINERS FOR SOCIAL WORKERS
MS
Enumeration date
01/08/2019
Last updated
10/29/2021
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