Individual
MS. GLORIA FAYE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 S LANCASTER RD, (116A), DALLAS, TX 75216-7167
(214) 857-0839
(214) 857-0917
Mailing address
4910 CLEAR CREEK RD, DALLAS, TX 75232-1314
(214) 376-8428
(214) 376-0756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04964
TX
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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