Individual
LAVONDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2211 SPAULDING PL, MOODY, AL 35004-6105
(205) 640-1602
(205) 640-1602
Mailing address
2211 SPAULDING PL, MOODY, AL 35004-6105
(205) 640-1602
(205) 640-1602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2314C
AL
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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