Individual
ELISA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
1611 W CLUB BLVD, DURHAM, NC 27705-4188
(301) 741-6209
Mailing address
811 9TH ST STE 120, DURHAM, NC 27705-4188
(301) 741-6209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C014628
NC
1041C0700X
Clinical Social Worker
P013406
NC
Other
Enumeration date
03/17/2020
Last updated
11/25/2022
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