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Individual

GLORIA A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 475-3593
(901) 313-1124
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 475-3593
(901) 313-1124

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4175
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4175
LCSW
TN
Enumeration date
06/10/2013
Last updated
06/10/2013
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