Individual
LOUISE A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
14 VIOLET ST, HAMPTON, VA 23663-1526
(757) 810-1209
(757) 826-1306
Mailing address
14 VIOLET ST, HAMPTON, VA 23663-1526
(757) 810-1209
(757) 826-1306
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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