Individual
TABATHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 POPLAR AVE STE 325, MEMPHIS, TN 38117-4433
(901) 649-2084
Mailing address
6950 REESE RD, MEMPHIS, TN 38133-4847
(901) 649-2084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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