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Individual

HOPE ELAINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
19605 GREENO RD STE 1201, FAIRHOPE, AL 36532-3898
(850) 642-1859
Mailing address
1 SOH COS/ SGOW, 113 LIELMANIS, HURLBURT FIELD, FL 32544
(850) 881-5061

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17548
FL
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17548
LCSW NUMBER
FL
01
4965C
ALABAMA LICENSE
AL
Enumeration date
12/03/2020
Last updated
02/13/2024
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