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Individual

MRS. JO ELLEN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
1115 ASHGROVE RD, NICHOLASVILLE, KY 40356-9202
(598) 523-3001
Mailing address
4116 BAFFIN BAY RD, LEXINGTON, KY 40515-4600
(859) 907-5211

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
260186
KY

Other

Enumeration date
08/02/2024
Last updated
04/01/2025
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