Individual
CALLY JANETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 J T STITES BLVD, SALLISAW, OK 74955-9323
(918) 775-7787
Mailing address
205 J T STITES BLVD, SALLISAW, OK 74955-9323
(918) 775-7787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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