Individual
KIM YVETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 NORTH ST, HARRISON, NY 10528-1524
(914) 925-5402
(914) 925-5069
Mailing address
275 NORTH ST, HARRISON, NY 10528-1524
(914) 925-5402
(914) 925-5069
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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