Individual
MS. BREANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 HUDSON LN STE 139, MONROE, LA 71201-6037
(318) 651-0086
(225) 756-4495
Mailing address
PO BOX 77053, BATON ROUGE, LA 70879-7053
(225) 278-8375
(225) 756-4495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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