Individual
MISS KENDRA V JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3520 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-3719
(317) 343-8355
Mailing address
4150 ILLINOIS RD, FORT WAYNE, IN 46804-1208
(866) 710-7129
(800) 886-7248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008781A
IN
Other
Enumeration date
04/12/2020
Last updated
04/12/2020
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