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Individual

MS. DELORIS JEAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, CSW

Contact information

Practice address
1022 SOUTH 6TH STREET, LOUISVILLE, KY 40203
(502) 589-6605
(502) 585-0335
Mailing address
607 E. ST. CATHERINE ST., LOUISVILLE, KY 40203
(502) 589-5080
(502) 587-5009

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW#7211
KY

Other

Enumeration date
09/21/2016
Last updated
09/26/2016
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