Individual
MS. PAULA HANCOCK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1303 EDGEWOOD DR STE 5, JEFFERSON CITY, MO 65109
(573) 690-7803
(573) 638-2693
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2008033984
MO
Other
Enumeration date
07/27/2009
Last updated
07/25/2018
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