Individual
BONNIE SUZANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
(580) 250-1831
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
(580) 250-1831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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