Individual
BRYA KIMNITA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8 CHURCH ST, FERGUSON, MO 63135-2409
(314) 643-7703
Mailing address
6651 BERTHOLD AVE APT 2S, SAINT LOUIS, MO 63139-3354
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MO
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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