Individual
MS. NIKKI T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
844 COMMONWEALTH AVE SE, ATLANTA, GA 30312-3662
(678) 499-3455
Mailing address
844 COMMONWEALTH AVE SE, ATLANTA, GA 30312-3662
(678) 499-3455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW003319
GA
1041C0700X
Clinical Social Worker
Primary
CSW004161
GA
Other
Enumeration date
07/08/2009
Last updated
09/17/2009
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