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Individual

MICHAEL RAY JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1325 WRIGHT AVE STE D, CROWLEY, LA 70526-2226
(337) 514-5181
Mailing address
301 EVERETT ST UNIT A, RUSTON, LA 71270-3613
(337) 794-6090

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
13124
LA
1041C0700X
Clinical Social Worker
Primary
13124
LA

Other

Enumeration date
06/26/2018
Last updated
06/21/2022
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