Individual
KHADIJAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 323-0174
(706) 256-3264
Mailing address
1400 BOXWOOD BLVD, APT. 1121, COLUMBUS, GA 31906-2327
(706) 505-6375
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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