Individual
MRS. STELLA M. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2292 CAMELOT CIR, TUPELO, MS 38804
(662) 231-3064
Mailing address
2292 CAMELOT CIR, TUPELO, MS 38804-6000
(662) 231-3064
(662) 844-0683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CO369
MS
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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