Individual
MS. ERICA JAALA JOHNSON-JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
988 HARDIN ST SW, CONYERS, GA 30012-5314
(404) 964-0157
Mailing address
988 HARDIN ST SW, CONYERS, GA 30012-5314
(404) 964-0157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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