Individual
JOYCE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1125 KARSCH BLVD., FARMINGTON, MO 63640-0173
(573) 218-9633
(573) 218-9636
Mailing address
10152 DEERING RD., PO BOX 322, TIFF, MO 63674-0322
(636) 586-4567
(636) 586-4567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2012037179
MO
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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