Individual
MS. TINA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, MA, MPA
Contact information
Practice address
204 E MARKET ST, LOUISVILLE, KY 40202-1218
(502) 588-4340
Mailing address
4204 BOONES GROVE WAY, LOUISVILLE, KY 40299-7406
(502) 314-4844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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