Individual
CHARISSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5221 JOHNSON ST APT 6, FORT SMITH, AR 72904-4625
(479) 650-2275
Mailing address
5221 JOHNSON ST APT 6, FORT SMITH, AR 72904-4625
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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