Individual
DR. PEARL M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. LCSW
Contact information
Practice address
11333 SUGAR PINE DR, STE. 901, FLORISSANT, MO 63033-6734
(314) 803-2808
Mailing address
11333 SUGAR PINE DR, STE. 901, FLORISSANT, MO 63033-6734
(314) 803-2808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001180
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493347207
—
MO
Enumeration date
03/29/2011
Last updated
08/21/2012
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