Individual
CARMELLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
12395 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2967
(216) 587-6727
Mailing address
9161 CRESCENT BLVD, BROADVIEW HEIGHTS, OH 44147-3912
(216) 854-9567
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0017686
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/11/2018
Last updated
01/04/2022
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