Individual
DORIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
10922 SCHUETZ RD, SAINT LOUIS, MO 63146-5704
(314) 612-4827
Mailing address
PO BOX 41, FLORISSANT, MO 63032-0041
(314) 599-8323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112558
IL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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