Individual
KOURTNIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
4870 NEWPORT CT, NASHVILLE, NC 27856-3303
(617) 528-8966
Mailing address
4870 NEWPORT CT, NASHVILLE, NC 27856-3303
(617) 528-8966
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
227061
MA
104100000X
Social Worker
Primary
P018591
NC
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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