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Individual

MRS. KENDALL A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
275 FIRST STREET EXT, SPRINGFIELD, GA 31329-0000
(912) 754-3030
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8510

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW001211
GA

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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