Individual
MR. WAYNE BEASLEY JOHNSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9810 DALLUM DR, AUSTIN, TX 78753-4312
(512) 954-0070
Mailing address
9810 DALLUM DR, AUSTIN, TX 78753-4312
(512) 954-0070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112029
TX
Other
Enumeration date
01/06/2025
Last updated
07/01/2026
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