Individual
CHANDRA LANETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 MATILENE AVE, DURHAM, NC 27707-4350
(919) 641-8427
Mailing address
2021 MATILENE AVE, DURHAM, NC 27707-4350
(919) 641-8427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016848
NC
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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