Individual
MS. PATRICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
805 BRENTWOOD DR, GRAND PRAIRIE, TX 75052-6469
(314) 646-9998
Mailing address
805 BRENTWOOD DR, GRAND PRAIRIE, TX 75052-6469
(314) 646-9998
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
63064
TX
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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