Individual
MS. ANN KIMBROUGH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
155 INTERSTATE 10 N, SECOND FLOOR - SUITE 1, BEAUMONT, TX 77707-2546
(409) 899-1656
Mailing address
155 INTERSTATE 10 N, SECOND FLOOR - SUITE 1, BEAUMONT, TX 77707-2546
(409) 899-1656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15808
LICENSE
TX
Enumeration date
06/16/2006
Last updated
04/03/2009
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