Individual
SHANNON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(800) 595-5229
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(800) 595-5229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/03/2019
Last updated
01/25/2021
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