Individual
HASSAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7630 E 79TH ST UNIT 702, KANSAS CITY, MO 64138-1453
(832) 997-4539
Mailing address
7630 E 79TH ST UNIT 702, KANSAS CITY, MO 64138-1453
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
09/04/2020
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