Individual
MRS. ALEXAN TAYLOR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
13521 INDIAN OAKS TRL, LARGO, FL 33774-2451
(850) 766-4741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ISW14412
FL
1041C0700X
Clinical Social Worker
14371
SC
1041C0700X
Clinical Social Worker
Primary
SW20355
FL
Other
Enumeration date
01/04/2021
Last updated
11/01/2022
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