Individual
SHAKISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1882 CAPITAL CIR NE, STE 105, TALLAHASSEE, FL 32308-4530
(850) 656-2320
Mailing address
1882 CAPITAL CIR NE, STE 105, TALLAHASSEE, FL 32308-4530
(850) 656-2320
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
100057522
FL
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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