Individual
MRS. RAMONA LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12303 DEPAUL DR., BRIDGETON, MO 63044-2512
(314) 344-6000
Mailing address
8420 CARL AVE, JENNINGS, MO 63136-1315
(314) 389-5739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016013125
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598835308
—
MO
Enumeration date
08/31/2016
Last updated
06/06/2022
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