Individual
LATOYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4266 W MAIN ST STE 106, GRAY, LA 70359-6421
(504) 389-0416
Mailing address
4266 W MAIN ST STE 106, GRAY, LA 70359-6421
(504) 389-0416
(985) 231-1377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15952
LA
171M00000X
Case Manager/Care Coordinator
15952
LA
Other
Enumeration date
07/12/2022
Last updated
08/07/2024
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