Individual
KYNDRA JOY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
421 W BOYCE ST, MANNING, SC 29102-2615
(803) 696-4195
Mailing address
418 DRAYTON ST, MANNING, SC 29102-2514
(803) 410-0781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15329
SC
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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