Individual
MR. ANDREW DUANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CRIMINAL JUSTIC
Contact information
Practice address
3129 SPRING GROVE AVE, CINCINNATI, OH 45225-1821
(513) 853-6930
(513) 853-6934
Mailing address
3129 SPRING GROVE AVE, CINCINNATI, OH 45225-1821
(513) 853-6930
(513) 853-6934
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
110898
OH
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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