Individual
STEPHANIE VAUGHN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2495 SHREVEPORT HWY 71 NORTH, ALEXANDRIA, LA 71306-9004
(318) 473-0010
Mailing address
711 CRAIG LOOP, ROBELINE, LA 71469-5205
(318) 472-5367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7391
LA
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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