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Individual

GAYIELLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 879-3966
Mailing address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 879-3966

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
9766
LA
171M00000X
Case Manager/Care Coordinator
Primary
9766
LA

Other

Enumeration date
10/09/2015
Last updated
05/15/2024
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