Individual
UKAWIA TYEWUNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 N TALLY CT, MOBILE, AL 36606-4823
(251) 232-2847
Mailing address
2655 N TALLY CT, MOBILE, AL 36606-4823
(251) 232-2847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5617G
AL
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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