Individual
SHARA NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755-3339
(727) 458-0201
Mailing address
1022 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755-3339
(727) 458-0201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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